Active NPI
Lonnie L Johnson Jr.
- Pastoral Counselor
- Jacksonville, FL
National Provider Identifier
1952279457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 421231
- Practice address
- 2219 Bridier St
Jacksonville, FL 32206-3244 - Phone
- (904) 566-8655
- NPI assigned
- Oct 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 421231 | FL | Primary |
Addresses
Primary practice location
2219 Bridier St
Jacksonville, FL 32206-3244
Mailing address
2219 Bridier St
Jacksonville, FL 32206-3244
Phone (904) 566-8655
Other names 1
- Renella Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421231 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1952279457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 BRIDIER ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322063244",
"telephone_number": "904-566-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 BRIDIER ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322063244",
"telephone_number": "904-566-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LONNIE",
"middle_name": "L",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "421231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENELLA",
"last_name": "MITCHELL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.