Mrs Amy Dale Mercado Johnson, MED, LPC, NCC in Fayetteville, NC

Mrs Amy Dale Mercado Johnson, MED, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, North Carolina. Her current practice location is 711 Executive Pl Fl 3, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 615-3750.

Mrs Amy Dale Mercado Johnson is licensed to practice in North Carolina (license number 8796) 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 1376829945.

Contact Information

	Mrs Amy Dale Mercado Johnson, MED, LPC, NCC
	711 Executive Pl Fl 3, Fayetteville, NC 28305-5193
	(910) 615-3750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amy Dale Mercado Johnson
Gender	Female
Speciality	Counselor - Mental Health
Location	711 Executive Pl Fl 3, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376829945
Provider Enumeration Date: 10/27/2011
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6800316563
Enrollment ID: I20250225001490

Medical Identifiers

Medical identifiers for Mrs Amy Dale Mercado Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376829945	NPI	-	NPPES
6104912	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	QS142206 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	8796 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	8796 (North Carolina)	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. Mrs Amy Dale Mercado Johnson allows following entities to bill medicare on her behalf.

Entity Name	Cumberland County Hospital System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693

Entity Name	Dunn Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184921843 PECOS PAC ID: 3678757226 Enrollment ID: O20110406000675

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. Mrs Amy Dale Mercado 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
Mrs Amy Dale Mercado Johnson, MED, LPC, NCC 711 Executive Pl Fl 3, Fayetteville, NC 28305-5193 Ph: () -	Mrs Amy Dale Mercado Johnson, MED, LPC, NCC 711 Executive Pl Fl 3, Fayetteville, NC 28305-5193 Ph: (910) 615-3750

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
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Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Mrs Amy Dale Mercado Johnson, MED, LPC, NCC - Medicare Counselor in Fayetteville, NC