Active NPI 1376924514 Individual Practitioner Female Practitioner

Dr. Cassandra Latasha Johnson , PhD

Counselor - Professional • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Cassandra Johnson, PhD is a registered healthcare professional specializing in Counselor - Professional in Augusta, GA. Practice services are available at 630 ELLIS ST STE 3A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 Ellis St Ste 3a

Augusta, GA 309011464

Telephone 7065500723

Fax 7067394624

Associated Practice Facility / Clinic

🏢 Center For Clinical Counseling Llc Facility NPI 1952880973

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.6 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

195 Specialists

Practicing in Augusta, GA (6655 Statewide)

Telehealth Adoption Rate

1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-30

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC010321

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Professional Counselor

LPC010321 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location March 27, 2024

Registered at 630 ELLIS ST STE 3A, AUGUSTA, GA 309011464 (Tel: 7065500723)

📍

Updated Business Mailing Address March 27, 2024

Registered at 630 ELLIS ST STE 3A, AUGUSTA, GA 309011464 (Tel: 7065500723)

📍

Updated Practice Location May 27, 2022

Registered at 149 DAVIS RD STE C, AUGUSTA, GA 309075071 (Tel: 7065500723)

📍

Updated Business Mailing Address May 27, 2022

Registered at 149 DAVIS RD STE C, AUGUSTA, GA 309075071 (Tel: 7065500723)

📍

Updated Practice Location June 18, 2020

Registered at 1 GEORGIA C. WILSON COURT, SUITE A, AUGUSTA, GA 30909 (Tel: 7065500723)

📍

Updated Practice Location August 02, 2018

Registered at 3127 DAMASCUS ROAD UNIT D, AUGUSTA, GA 30909 (Tel: 7065500723)

📍

Updated Business Mailing Address August 02, 2018

Registered at 3127 DAMASCUS ROAD UNIT D, AUGUSTA, GA 309099652 (Tel: 7065500723)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2018

Counselor (License #LPC010321 in GA)

✅

NPI Profile Active June 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2015

Registered at 2820 HILLCREEK DR, AUGUSTA, GA 309095628 (Tel: 7064101202)

📍

Updated Business Mailing Address June 13, 2015

Registered at PO BOX 9652, AUGUSTA, GA 309169652

👤

Provider Name / Credentials Updated June 13, 2015

Recorded as CASSANDRA JOHNSON, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2015

Counselor (License #APC003540 in GA)

🟢

Initial NPI Registration & Enumeration June 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376924514

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2015

Last Update: May 30, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

630 Ellis St Ste 3a

Augusta, GA 309011464

Phone: 7065500723

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.