Individual provider Active NPI

Priscilla Johnson, LPC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1982257259
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701008493 Issued in VA
Practice address
111 Mill Creek Pkwy Ste 201
Chesapeake, VA 23323-1099
Phone
(757) 800-3214
Fax
(757) 966-2873
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701008493 VA Primary

Addresses

Primary practice location

111 Mill Creek Pkwy Ste 201
Chesapeake, VA 23323-1099

Mailing address

111 Mill Creek Pkwy Ste 201
Chesapeake, VA 23323-1099
Phone (757) 800-3214

Other practice location 1

4460 Corporation Ln
Virginia Beach, VA 23462-3150
Phone (757) 490-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240822001621 VA Practitioner - Mental Health Counselor 5496294423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Scenic Pkwy
Suite 202
Chesapeake, VA 23323-6731
Phone (757) 324-5392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Priscilla Johnson LPC Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

111 Mill Creek Pkwy
Ste 201
Chesapeake, VA 23323
Phone (757) 906-6714

1001 Scenic Pkwy
Ste 202
Chesapeake, VA 23323
Phone (757) 324-5392

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1982257259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MILL CREEK PKWY STE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231099",
            "telephone_number": "757-800-3214",
            "fax_number": "757-966-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MILL CREEK PKWY STE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231099",
            "telephone_number": "757-800-3214",
            "fax_number": "757-966-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 Corporation Ln",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623150",
            "country_code": "US",
            "telephone_number": "757-490-0377",
            "fax_number": "757-497-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.