Patricia Antonia Johnson, MSSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001262 Issued in GA

Practice address

2627 Sandy Plains Rd Ste 101
Suite B
Marietta, GA 30066-4288

Phone

(770) 977-0313

Fax

(770) 977-6761

NPI assigned

Jul 26, 2006

Last updated

Jan 17, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Joseph's Mercy Care Services IncGroup PAC ID 9931191525, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Joseph's Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment Care Compare group NPD
• Saint Joseph's Mercy Care Services, Inc.

  dba Saint Joseph's Mercy Care - Jefferson Place

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1144462003
  NPD
• Saint Joseph's Mercy Care Services, Inc.

  dba Saint Joseph's Mercy Care CHRIS 180

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1285277608
  NPD
• Sweetwater Psychological Associates, LLC

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1114085743
  NPD (past)
• Sweetwater Psychological Associates, LLC

  • Clinical Psychologist
  • Lithia Springs, GA
  • NPI 1467562827
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1972527000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 SANDY PLAINS RD STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664288",
            "telephone_number": "770-977-0313",
            "fax_number": "770-977-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 SANDY PLAINS RD STE 101",
            "address_2": "SUITE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664288",
            "telephone_number": "770-977-0313",
            "fax_number": "770-977-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "ANTONIA",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "001262",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "001262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000966435B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Willison Johnson, DMD
• Nicholas D Johnson, D.M.D.
• Nicole Heather Johnson
• Opal Johnson, RBT
• Paige Johnson
• Quinetta Brigette Johnson, MD
• Rachel Marie Johnson, MD
• Raymond Lee Johnson II
• Resnee Johnson
• Ryan Paul Johnson, APRN, AGACNP-BC

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, 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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.