MRS. HOSTONIA SEGREE JOHNSON LCSW
NPI 1003634171
Counselor - Mental Health in Bradenton, FL

Active since September 28, 2024PECOS EnrolledAccepts Medicare Assignment
101 RIVERFRONT BLVD STE 100, BRADENTON, FL 34205(866) 936-5250 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Hostonia Segree Johnson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOSTONIA SEGREE JOHNSON LCSW (NPI 1003634171) is an individual mental health provider in Bradenton, Florida, licensed in Florida (SW22483) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003634171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. HOSTONIA SEGREE JOHNSONCredential: LCSW
Location Address101 RIVERFRONT BLVD STE 100Bradenton, FL 34205-8870
Mailing Address3222 Klays CtRoyal Palm Beach, FL 33411-8324 · (863) 228-3370
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 28, 2024
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1003634171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW22483
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW22483 (FL)
101 RIVERFRONT BLVD STE 100, Bradenton, FL 34205

Secondary Practice Location 1

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Hostonia Segree Johnson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527591619
PECOS Enrollment IDI20241028003542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Hostonia Segree Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Psychiatry
5406 HOOVER BLVD STE 18
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2711 N ORANGE BLOSSOM TRL STE A
Kissimmee, FL 34744
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
927 N CITRUS AVE
Crystal River, FL 34428
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
101 RIVERFRONT BLVD STE 100
BRADENTON, FL 34205
Student in an Organized Health Care Education/Training Program
101 RIVERFRONT BLVD STE 100
BRADENTON, FL 34205
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 RIVERFRONT BLVD STE 100
BRADENTON, FL 34205
Nurse Practitioner (Family)
101 RIVERFRONT BLVD STE 100
BRADENTON, FL 34205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hostonia Segree Johnson's NPI number?

The NPI number for Hostonia Segree Johnson is 1003634171. It was assigned to this individual provider in the NPPES registry on September 28, 2024.

Where is Hostonia Segree Johnson located?

Hostonia Segree Johnson practices at 101 Riverfront Blvd Ste 100, Bradenton, FL 34205. The listed phone number is (866) 936-5250.

What is Hostonia Segree Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Hostonia Segree Johnson enrolled in Medicare?

Yes. Hostonia Segree Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hostonia Segree Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hostonia Segree Johnson reassigns Medicare benefits to 5 organizations: Mcr Health, Inc. (Parrish, FL), Ace Behavioral Health LLC (Tampa, FL), Health Care Center For The Homeless, Inc. (Kissimmee, FL), Citrus County Rural Health Inc (Crystal River, FL) and Coastal Community Health Services, Inc. (Fernandina Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hostonia Segree Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hostonia Segree Johnson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Hostonia Segree Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hostonia Segree Johnson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.