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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOANDRA Y JOHNSON MS, LMFT
NPI 1376140426
Marriage & Family Therapist in Tucker, GA

Active since October 01, 2020PECOS Enrolled
2037 WEEMS RD APT 6201, TUCKER, GA 30084(240) 883-2624 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Oct 1, 2020 (2 updates tracked since 2020).

About Moandra Y Johnson Ms, Lmft NPPES

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

MOANDRA Y JOHNSON MS, LMFT (NPI 1376140426) is an individual marriage & family therapist in Tucker, Georgia, licensed in Georgia (MFT002115) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376140426
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMOANDRA Y JOHNSONCredential: MS, LMFT
Location Address2037 WEEMS RD APT 6201Tucker, GA 30084-5263
Mailing Address2552 Pierce CirSnellville, GA 30078-5765
Phone(240) 883-2624
Sole ProprietorNo
Enumeration DateOctober 1, 2020
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1376140426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in GA · MFT002115✔ Licensed in MD · LCM1083
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2037 WEEMS RD APT 6201, Tucker, GA 30084
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Secondary Practice Locations 2

Location 15555 Glenridge Connector Ste 200Atlanta, GA 30342-4815 · Phone (415) 424-4266
Location 216701 Melford Blvd Ste 400Bowie, MD 20715-4411 · Phone (415) 424-4266

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moandra Y Johnson Ms, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

SHANELL ROBERTS
Counselor (Mental Health)
2037 WEEMS RD APT 6201
TUCKER, GA 30084
Dekalb County (804) 397-2862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moandra Johnson's NPI number?

The NPI number for Moandra Johnson is 1376140426. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Moandra Johnson located?

Moandra Johnson practices at 2037 Weems Rd Apt 6201, Tucker, GA 30084. The listed phone number is (240) 883-2624.

What is Moandra Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Moandra Johnson enrolled in Medicare?

Yes. Moandra Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moandra Johnson was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.