MRS. KANISHA NATHASHA JOHNSON MA
NPI 1679053011
Counselor - Professional in Columbia, SC

Active since August 15, 2018PECOS Enrolled
2000 PARK ST, COLUMBIA, SC 29201(803) 386-8834 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Mar 12, 2025, Aug 15, 2018 (3 updates tracked since 2018).

About Mrs. Kanisha Nathasha Johnson Ma NPPES

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

MRS. KANISHA NATHASHA JOHNSON MA (NPI 1679053011) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (9956) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Union, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679053011
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KANISHA NATHASHA JOHNSONCredential: MA
Location Address2000 PARK STColumbia, SC 29201-2011
Mailing Address264 Kings CvLocust Grove, GA 30248-3904 · (347) 205-7479
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 15, 2018
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1679053011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 9956
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2000 PARK ST, Columbia, SC 29201

Other Names 1

Former Name (1)Kanisha Nathasha Alleyne Lpc

Secondary Practice Location 1

Location 1130 Medical Sciences DrUnion, SC 29379-8609 · Phone (864) 427-1224

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. Kanisha Nathasha Johnson Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567966724
PECOS Enrollment IDI20250919001331
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 8

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

Radiology (Diagnostic Radiology)
2000 PARK ST
COLUMBIA, SC 29201
Radiology (Diagnostic Radiology)
2000 PARK ST
COLUMBIA, SC 29201
Radiology (Diagnostic Radiology)
2000 PARK ST
COLUMBIA, SC 29201
Home Health
2000 PARK ST, SUITE 101 #1608
COLUMBIA, SC 29201
Radiology (Diagnostic Radiology)
2000 PARK ST, STE 202
COLUMBIA, SC 29201
Radiology (Diagnostic Radiology)
2000 PARK ST
COLUMBIA, SC 29201
Behavior Analyst
2000 PARK ST
COLUMBIA, SC 29201
Radiology (Diagnostic Radiology)
2000 PARK ST
COLUMBIA, SC 29201

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 Kanisha Johnson's NPI number?

The NPI number for Kanisha Johnson is 1679053011. It was assigned to this individual provider in the NPPES registry on August 15, 2018. The provider is also known as Kanisha Nathasha Alleyne Lpc.

Where is Kanisha Johnson located?

Kanisha Johnson practices at 2000 Park St, Columbia, SC 29201. The listed phone number is (803) 386-8834.

What is Kanisha Johnson's specialty?

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

Is Kanisha Johnson enrolled in Medicare?

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

What insurance does Kanisha Johnson accept?

Health plans from UnitedHealthcare list Kanisha 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 Kanisha Johnson was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.