Mindy Lee Johnson, LMSW in Holland, MI - Medicare Clinical Social Worker Provider

Mindy Lee Johnson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Holland, Michigan. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Counseling Center Of West Michigan Llc and her current practice location is 12265 James St, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 494-5590.

Mindy Lee Johnson is licensed to practice in Michigan (license number 6801095903) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043854813.

Contact Information

	Mindy Lee Johnson, LMSW
	12265 James St, Holland, MI 49424-8613
	(616) 494-5590
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mindy Lee Johnson
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	12265 James St, Holland, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mindy Lee Johnson graduated from medical school in 2013

NPI Data:

NPI Number: 1043854813
Provider Enumeration Date: 11/04/2019
Last Update Date: 02/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0648689091
Enrollment ID: I20210514001146

Medical Identifiers

Medical identifiers for Mindy Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043854813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801106654 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801095903 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Counseling Center Of West Michigan Llc	9234469255	87

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mindy Lee Johnson allows following entities to bill medicare on her behalf.

Entity Name	Counseling Center Of West Michigan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mindy Lee Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mindy Lee Johnson, LMSW 12265 James St, Holland, MI 49424-8613 Ph: (231) 206-2434	Mindy Lee Johnson, LMSW 12265 James St, Holland, MI 49424-8613 Ph: (616) 494-5590

Reviews and Comments

Social Worker in Holland, MI

Susan Buist, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141
Rhonda Marie Rutan, LLMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12265 James St, Holland, MI 49424 Phone: 616-494-5698 Fax: 616-393-5687
Sarah Stryd, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12048 James St, Holland, MI 49424 Phone: 616-396-0623 Fax: 616-396-2315
Jane Butler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 607 Heritage Ct, Holland, MI 49423 Phone: 616-396-6285 Fax: 616-396-6172
Carli Watson, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13077 Indigo Ct, Holland, MI 49424 Phone: 616-284-1228
Mrs. Priscilla D. Sanders, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Riley St, Suite E, Holland, MI 49424 Phone: 616-836-1819
Traci Nichole Trainor, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 483 Century Ln, Holland, MI 49423 Phone: 616-396-5284

Mindy Lee Johnson, LMSW - Medicare Clinical Social Worker in Holland, MI