Avery Cenese Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

110 Coliseum Xing
Ste 138
Hampton, VA 23666-5971

Phone

(757) 210-4233

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1962145920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 TWIN LAKES CIR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662352",
            "telephone_number": "757-646-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING",
            "address_2": "STE 138",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "757-210-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AVERY",
        "middle_name": "CENESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSS INNER CHILD COUNSELING",
            "identifier": "1962069526",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "averyjohnson76@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "averyjohnson76@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Coliseum Xing",
            "address_2": "ste 138",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236665971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bossinnerchildcounseling@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Business email address",
            "affiliationName": "BOSS Inner Child Counseling, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Coliseum Xing",
            "address_2": "ste 138",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236665971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher John, M.D.
• Wallace Danny Johnson III, MS OTR/L
• Johnson Venture Management Solutions, Inc.
• Anna B Johnson, DO
• Arnice Burwell Johnson, PA-C
• Cora Thomas Johnson
• Daniel Johnson
• Demetra Johnson
• Gabrielle Monique Johnson, M.D.
• Jamie Johnson, LCSW

• Clinical Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.