Tiffany Deanna Johnson, LPC in Columbia, SC - Medicare Counselor Provider

Tiffany Deanna Johnson, LPC is a medicare enrolled "Counselor - Professional" provider in Columbia, South Carolina. Her current practice location is 2638 Two Notch Rd Ste 210, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 983-5262.

Tiffany Deanna Johnson is licensed to practice in South Carolina (license number 8359) 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 1457015612.

Contact Information

	Tiffany Deanna Johnson, LPC
	2638 Two Notch Rd Ste 210, Columbia, SC 29204-1454
	(803) 983-5262
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Deanna Johnson
Gender	Female
Speciality	Counselor - Professional
Location	2638 Two Notch Rd Ste 210, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457015612
Provider Enumeration Date: 10/25/2021
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8022455799
Enrollment ID: I20240318003069

Medical Identifiers

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

Identifier	Type	State	Issuer
1457015612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	7296 (South Carolina)	Secondary
101YP2500X	Counselor - Professional	8359 (South 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. Tiffany Deanna Johnson allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

Entity Name	Therapeutic Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144060476 PECOS PAC ID: 1658817739 Enrollment ID: O20240725000330

Entity Name	Exquisite Minds Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861225450 PECOS PAC ID: 5991220360 Enrollment ID: O20250417002176

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. Tiffany Deanna 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
Tiffany Deanna Johnson, LPC 532 Oakbrook Village Rd, Columbia, SC 29223-4236 Ph: (038) 983-5262	Tiffany Deanna Johnson, LPC 2638 Two Notch Rd Ste 210, Columbia, SC 29204-1454 Ph: (803) 983-5262

Reviews and Comments

Counselor in Columbia, SC

Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777
Dr. Mari Antoinette Alexander, PHD, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2805 River Dr, Columbia, SC 29201 Phone: 617-777-6594 Fax: 617-221-3260
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846

Tiffany Deanna Johnson, LPC - Medicare Counselor in Columbia, SC