NPI 1306410246 · live from the CMS NPI Registry
Santresda Johnson, LPC
Counselor, Mental Health in Saint Louis, MO. National Provider Identifier 1306410246, active.
NPI record
| NPI | 1306410246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 725 Kingsland Ave Ste 100, Saint Louis, MO 63130 |
| Practice phone | 907-444-3928 |
| Enumerated | May 15, 2021 |
| Last updated | March 6, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 2025031718 (MO) |
| Counselor, Mental Health | 101YM0800X | 7081005 (ID) |
| Counselor | 101Y00000X | 7081005 (ID) |
| Counselor, Mental Health | 101YM0800X | E.2606655 (OH) |
| Counselor, Mental Health primary | 101YM0800X | 217581 (AK) |
| Counselor | 101Y00000X | LPCCANIDIDATE13178 (OK) |
| Counselor, Professional | 101YP2500X | 2025031718 (MO) |
| Counselor | 101Y00000X | E.2606655 (OH) |
| Behavior Analyst | 103K00000X | — |
| Counselor, Mental Health | 101YM0800X | LPCCANIDIDATE13178 (OK) |
| Behavior Analyst | 103K00000X | 217581 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.