Aundrea Denise Johnson, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

11520 Saint Charles Rock Rd Ste 205
Bridgeton, MO 63044-2732

Phone

(314) 252-8216

NPI assigned

Jul 17, 2023

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

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1992484026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 RED BARN CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337830",
            "telephone_number": "314-791-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SAINT CHARLES ROCK RD STE 205",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442732",
            "telephone_number": "314-252-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11955 Red Barn Ct",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630337830",
            "country_code": "US",
            "telephone_number": "314-791-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUNDREA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy B Johnson-Herrell, MA, LPC
• Lakita A Johnson-Holmes, PHARM D
• Amarilis Johnson
• Amber Renee Johnson, PAC MMS
• Angela B Johnson
• Cherquita Johnson, LMT
• Elizabeth Johnson
• Haeley Renee Johnson
• Jessica Johnson
• Kevin Johnson, MD

• Professional Counselor in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.