NATHANIEL JOHNSON LPC NPI 1700493798

NPI Information

  • NPI: 1700493798
  • Provider Name: NATHANIEL JOHNSON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 612 BERETTA DR
    GROVETOWN, GA
    ZIP 30813
  • Phone: (706) 294-3273

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NPI Details

Nathaniel Johnson, LPC is a professional counselor in Grovetown, GA. Nathaniel Johnson, LPC NPI is 1700493798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 BERETTA DR
GROVETOWN, GA
ZIP 30813-198
Phone: (706) 294-3273

The enumeration date for this NPI number is 9/24/2020 and was last updated on 9/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101Y00000XCounselorLPC006859GEORGIANo
3101YM0800XCounselorMental HealthLPC006859GEORGIANo
4101YP2500XCounselorProfessionalNo
5101YP2500XCounselorProfessionalLPC006859GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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