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

Q: 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.

Q: What is Cassandra Johnson's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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

Phone(706) 550-0723

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

Open in Google Maps ↗

Other Identifiers 1

OtherLPC010321GA · Licensed Professional Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA

246 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Georgia enrollment
232 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

CENTER FOR CLINICAL COUNSELING LLC

Counselor (Professional)

630 ELLIS ST STE 3A
AUGUSTA, GA 30901

Richmond County (706) 526-7717

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.

Which organization bills Medicare for Cassandra Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Johnson reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassandra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.