Individual provider · Type 1 NPI
Jasmine Kiera Diamond Mamie Johnson, MS, LCMHCA, LCASA
Mental Health Counselor · Ayden, NC
NPI number
1982530564
Active
Practice location
4505 Bushel Ct
Ayden, NC 28513-1507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A23002 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-31719 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1982530564
Jasmine Kiera Diamond Mamie Johnson, MS, LCMHCA, LCASA's National Provider Identifier is 1982530564, issued on Jun 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ayden, NC. The record was last updated on Aug 14, 2026.