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

Mr. Taij Mallory Johnson, LPCA

Individual provider Counselor · NPI 1295169902

Mr. Taij Mallory Johnson, LPCA is a Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1306 Paddock Dr Ste E-100
Raleigh, NC 27609-4873
Phone: (919) 790-7775
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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 A10111 (NC)
Counselor Taxonomy 101Y00000X · Licence A10111 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence A10111 (NC)

Record details

NPI number1295169902
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESMay 28, 2015

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