Kimberly Johnson, LCPC in Columbia, MD - Medicare Counselor Provider

Kimberly Johnson, LCPC is a medicare enrolled "Counselor - Professional" provider in Columbia, Maryland. Her current practice location is 9520 Berger Rd Ste 203, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 290-6940.

Kimberly Johnson is licensed to practice in Maryland (license number LC8733) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407340185.

Contact Information

	Kimberly Johnson, LCPC
	9520 Berger Rd Ste 203, Columbia, MD 21046-1543
	(410) 290-6940
	(443) 279-0537

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Johnson
Gender	Female
Speciality	Counselor - Professional
Location	9520 Berger Rd Ste 203, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407340185
Provider Enumeration Date: 06/18/2018
Last Update Date: 12/18/2018

Medicare PECOS Information:

PECOS PAC ID: 9931551025
Enrollment ID: I20240222000650

Medical Identifiers

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

Identifier	Type	State	Issuer
1407340185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC8733 (Maryland)	Primary

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. Kimberly Johnson allows following entities to bill medicare on her behalf.

Entity Name	Erta Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487284816 PECOS PAC ID: 0941622633 Enrollment ID: O20200625002620

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. Kimberly 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
Kimberly Johnson, LCPC 120 Sister Pierre Dr Ste 403, Towson, MD 21204-7536 Ph: (410) 823-6408	Kimberly Johnson, LCPC 9520 Berger Rd Ste 203, Columbia, MD 21046-1543 Ph: (410) 290-6940

Reviews and Comments

Counselor in Columbia, MD

Ms. Candace Anne Blase, LCPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5560 Sterrett Pl, Suite 201, Columbia, MD 21044 Phone: 443-546-4000 Fax: 443-546-4005
Ms. Sara Trescott, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-740-8066
Mrs. Lara Jayne Peter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044 Phone: 240-470-0663
Melissa Lynn Nugent, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6440 Dobbin Rd Ste D, Columbia, MD 21045 Phone: 410-730-2385
Ms. Selvi Arasi Chellaiah, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10005 Old Columbia Rd, Columbia, MD 21046 Phone: 443-956-3399
Wendy Simmons Iglehart, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045 Phone: 410-992-9149 Fax: 410-992-9921
Ms. Emily Jean Garrison, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7014 Gentle Shade Rd Apt 304, Columbia, MD 21046 Phone: 301-537-0545

Kimberly Johnson, LCPC - Medicare Counselor in Columbia, MD