Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirley Renee Johnson, LPCC-S, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770935009

Shirley Renee Johnson, LPCC-S, LICDC-CS is a Mental Health Counselor in Gahanna, Ohio. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

196 Mill St
Gahanna, OH 43230-2647
Phone: (614) 769-8571
Fax: (614) 417-1451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.1800985 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 041011 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence E.1800985 (OH)

Record details

NPI number1770935009
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S , LICDC-CS
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESAugust 27, 2022
Certification dateAugust 27, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Gahanna