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

Tasha Johnson

Individual provider Mental Health Counselor · NPI 1508308008

Tasha Johnson is a Clinical Social Worker in Jackson, Mississippi. Qualified in 1999, 27 years ago. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

7 Lakeland Cir
Jackson, MS 39216-5022
Phone: (769) 279-2474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 127626 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1508308008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2016
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Jackson