Lisa Michelle Johnson
Counselor, Professional in Lincolnton, NC. Individual provider (NPI-1).
NPI number1194433482
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1194433482
- Entity type
- Individual (NPI-1)
- Name
- Lisa Michelle Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 18247 | NC | Yes |
Practice location
1436 Laboratory RdLincolnton, NC 28092-3127
Phone 704-835-5954
Mailing address
284 Executive Park Dr Ste 100Concord, NC 28025-1833
Phone 704-297-0564 · Fax 704-939-1173
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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