Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmine Patrice Bryant Johnson

Individual provider Mental Health Counselor · NPI 1598386054

Jasmine Patrice Bryant Johnson is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone: (704) 469-7456
Fax: (704) 946-6923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A15736 (NC)

Record details

NPI number1598386054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2020
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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