DR. CASSANDRA LATASHA JOHNSON PHD
NPI 1376924514
Counselor - Professional in Augusta, GA

Active since June 13, 2015PECOS Enrolled
630 ELLIS ST STE 3A, AUGUSTA, GA 30901(706) 550-0723(706) 739-4624 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2022, Jun 18, 2020, Aug 2, 2018 (3 updates tracked since 2018).

About Dr. Cassandra Latasha Johnson Phd NPPES

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

DR. CASSANDRA LATASHA JOHNSON PHD (NPI 1376924514) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC010321) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376924514
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CASSANDRA LATASHA JOHNSONCredential: PHD
Location Address630 ELLIS ST STE 3AAugusta, GA 30901-1464
Mailing Address630 Ellis St Ste 3aAugusta, GA 30901-1464 · (706) 550-0723 · Fax (706) 739-4624
Fax(706) 739-4624
Sole ProprietorYes
Enumeration DateJune 13, 2015
Last NPPES UpdateMay 30, 20243 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1376924514 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 GA · LPC010321
630 ELLIS ST STE 3A, Augusta, GA 30901

Other Identifiers 1

OtherLPC010321GA · Licensed Professional Counselor

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Cassandra Latasha Johnson Phd 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.

Counselor (Professional)
630 ELLIS ST STE 3A
AUGUSTA, GA 30901

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 Cassandra Johnson's NPI number?

The NPI number for Cassandra Johnson is 1376924514. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Where is Cassandra Johnson located?

Cassandra Johnson practices at 630 Ellis St Ste 3A, Augusta, GA 30901. The listed phone number is (706) 550-0723.

What is Cassandra Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cassandra Johnson enrolled in Medicare?

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

What insurance does Cassandra Johnson accept?

Health plans from Providence Health Plan and UnitedHealthcare list Cassandra Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Johnson was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.