Keith Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3707 Main St
College Park, GA 30337-3544

Phone

(404) 483-5873

NPI assigned

Sep 28, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1952181810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 ATLANTA HWY STE 101",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046025",
            "telephone_number": "404-483-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 MAIN ST",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "404-483-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Jenkins, MSW
• Jerry E Nutt DDS & Assoc of College Park
• Jireh Counseling and Consulting Services, Inc.
• Johnson Healthcare Group Inc
• Brianna Nicole Johnson, DC
• Pamela Deshawn Johnson, LPC
• Schantate Johnson, LMSW
• Katrina Shantell Jones, LAMFT
• Marcia D Jones, M.S., NCC, LPC
• Stacie Brooke Jones, RN, IBCLC

• Mental Health Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.