MS. CAROL MARTIN JOHNSON MA, ATR-BC, LPC
NPI 1114363140
Counselor - Professional in Philadelphia, PA

Active since May 16, 2013
4919 PENTRIDGE ST, PHILADELPHIA, PA 19143(267) 608-5354(610) 387-6056 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Carol Martin Johnson Ma, Atr-bc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROL MARTIN JOHNSON MA, ATR-BC, LPC (NPI 1114363140) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (004304) and active in the NPI registry since May 2013. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1114363140
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CAROL MARTIN JOHNSONCredential: MA, ATR-BC, LPC
Location Address4919 PENTRIDGE STPhiladelphia, PA 19143-3320
Mailing Address4900 Spruce St Unit 502Philadelphia, PA 19139-4372 · (267) 608-5354
Fax(610) 387-6056
Sole ProprietorYes
Enumeration DateMay 16, 2013
Last NPPES UpdateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
NPI 1114363140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · 004304
4919 PENTRIDGE ST, Philadelphia, PA 19143

Secondary Practice Location 1

Location 14522 Baltimore AvePhiladelphia, PA 19143-3705 · Phone (267) 608-5354 · Fax (610) 387-6056

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143
Counselor (Mental Health)
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143
Counselor (Professional)
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143
Clinic/Center (Mental Health (Including Community Mental Health Center))
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143
Community/Behavioral Health
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143
Counselor (Professional)
4919 PENTRIDGE ST
PHILADELPHIA, PA 19143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114363140, enumerated as an "individual" on May 16, 2013.

The provider is located at 4919 PENTRIDGE ST PHILADELPHIA, PA 19143 and the phone number is (267) 608-5354.

Counselor with taxonomy code 101YP2500X and a focus in Professional.