Mrs Chantelle M Johnson, MA, LPC in Charlotte, NC - Medicare Mental Health Counselor Provider

Mrs Chantelle M Johnson, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Charlotte, North Carolina. She graduated from healthcare school in 2004 and has 21 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Soul Care, Pllc and her current practice location is 5501 Executive Center Dr Ste 215, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 613-8312.

Mrs Chantelle M Johnson is licensed to practice in North Carolina (license number S7710) 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 1841520590.

Contact Information

	Mrs Chantelle M Johnson, MA, LPC
	5501 Executive Center Dr Ste 215, Charlotte, NC 28212-8823
	(980) 613-8312
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Chantelle M Johnson
Gender	Female
Speciality	Mental Health Counselor
Experience	21 Years
Location	5501 Executive Center Dr Ste 215, Charlotte, North Carolina
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:

Mrs Chantelle M Johnson graduated from medical school in 2004

NPI Data:

NPI Number: 1841520590
Provider Enumeration Date: 12/31/2009
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 3779874557
Enrollment ID: I20240222002451

Medical Identifiers

Medical identifiers for Mrs Chantelle M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841520590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC9388 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	0701008174 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	S7710 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	LC9388 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	7710 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	0701008174 (Virginia)	Secondary
101YP2500X	Counselor - Professional	7710 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	S7710 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soul Care, Pllc	8224329008	5

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 Chantelle M Johnson allows following entities to bill medicare on her behalf.

Entity Name	Soul Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821320334 PECOS PAC ID: 8224329008 Enrollment ID: O20160627000191

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 Chantelle M 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 Chantelle M Johnson, MA, LPC Po Box 8936, Rocky Mount, NC 27804-6936 Ph: (980) 613-8312	Mrs Chantelle M Johnson, MA, LPC 5501 Executive Center Dr Ste 215, Charlotte, NC 28212-8823 Ph: (980) 613-8312

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921
Brooke Anderson Carr, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266

Mrs Chantelle M Johnson, MA, LPC - Medicare Counselor in Charlotte, NC