MRS. SHAHEEDRA AVEONNE JOHNSON M.S., LPC
NPI 1497599054
Counselor - Professional in Dallas, TX

Active since June 19, 2024PECOS Enrolled
4040 N CENTRAL EXPY STE 670, DALLAS, TX 75204(469) 290-4285 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Jun 19, 2024 (2 updates tracked since 2024).

About Mrs. Shaheedra Aveonne Johnson M.s., Lpc NPPES

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

MRS. SHAHEEDRA AVEONNE JOHNSON M.S., LPC (NPI 1497599054) is an individual professional provider in Dallas, Texas, licensed in Texas (90422) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesquite.

NPPES Registry Identity

NPI1497599054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHAHEEDRA AVEONNE JOHNSONCredential: M.S., LPC
Location Address4040 N CENTRAL EXPY STE 670Dallas, TX 75204-3158
Mailing Address1925 Jade Forest LnMesquite, TX 75181-4310 · (469) 290-4285
Sole ProprietorNo
Enumeration DateJune 19, 2024
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1497599054 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 TX · 90422
4040 N CENTRAL EXPY STE 670, Dallas, TX 75204

Secondary Practice Location 1

Location 1323 S Bryan Belt Line RdMesquite, TX 75149-4663 · Phone (972) 288-2225

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)

Mrs. Shaheedra Aveonne Johnson M.s., Lpc 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 14

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

Psychologist
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Counselor (Professional)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Clinic/Center (Adolescent and Children Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Social Worker (Clinical)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Counselor (Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Social Worker (Clinical)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Marriage & Family Therapist
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Clinic/Center (Adult Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204

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 Shaheedra Johnson's NPI number?

The NPI number for Shaheedra Johnson is 1497599054. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Shaheedra Johnson located?

Shaheedra Johnson practices at 4040 N Central Expy Ste 670, Dallas, TX 75204. The listed phone number is (469) 290-4285.

What is Shaheedra Johnson's specialty?

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

Is Shaheedra Johnson enrolled in Medicare?

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

What insurance does Shaheedra Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Shaheedra 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 Shaheedra Johnson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.