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

Mrs. Kanisha Nathasha Johnson, MA

Individual provider Mental Health Counselor · NPI 1679053011

Mrs. Kanisha Nathasha Johnson, MA is a Mental Health Counselor in Columbia, South Carolina. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2000 Park St
Columbia, SC 29201-2011
Phone: (803) 386-8834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Medical Sciences Dr, Union, SC 29379-8609 — (864) 427-1224

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9956 (SC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1679053011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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