SHIRLEY RENEE JOHNSON LPCC-S LICDC-CS NPI 1770935009

NPI Information

NPI: 1770935009
Provider Name: SHIRLEY RENEE JOHNSON, LPCC-S, LICDC-CS
Classification: Counselor - 101YP2500X
Specialization: Professional
Entity Type: Individual
PECOS Registration: Yes
Address: 196 MILL ST
GAHANNA, OH
ZIP 43230
Phone: (614) 769-8571

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NPI Details

Shirley Renee Johnson, LPCC-S, LICDC-CS is a professional counselor in Gahanna, OH with 12 years of experience. Shirley Renee Johnson, LPCC-S, LICDC-CS NPI is 1770935009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

196 MILL ST
GAHANNA, OH
ZIP 43230-647
Phone: (614) 769-8571
Fax: (614) 417-1451

The NPI 1770935009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 8/27/2022.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	041011	OHIO	No
2	101YM0800X	Counselor	Mental Health	E.1800985	OHIO	No
3	101YP2500X	Counselor	Professional	E.1800985	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0176372	MEDICAID	OHIO

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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