TRACEY JOHNSON
NPI 1013799956
Counselor - Professional in Grand Prairie, TX

Active since October 16, 2023PECOS Enrolled
2947 MERE LN, GRAND PRAIRIE, TX 75054(214) 280-3053 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Tracey Johnson NPPES

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

TRACEY JOHNSON (NPI 1013799956) is an individual professional provider in Grand Prairie, Texas, licensed in Texas (88837) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013799956
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACEY JOHNSON
Location Address2947 MERE LNGrand Prairie, TX 75054-0190
Mailing Address2947 Mere LnGrand Prairie, TX 75054-0190 · (214) 280-3053
Sole ProprietorNo
Enumeration DateOctober 16, 2023
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1013799956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 88837
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 88837 (TX)
2947 MERE LN, Grand Prairie, TX 75054

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Tracey Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 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

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

Counselor (Mental Health)
2947 MERE LN
GRAND PRAIRIE, TX 75054

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 Tracey Johnson's NPI number?

The NPI number for Tracey Johnson is 1013799956. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Tracey Johnson located?

Tracey Johnson practices at 2947 Mere Ln, Grand Prairie, TX 75054. The listed phone number is (214) 280-3053.

What is Tracey Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tracey Johnson enrolled in Medicare?

Yes. Tracey Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tracey Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Johnson reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Grow Healthcare Group PA (Miami, 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 Tracey Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Tracey 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 Tracey Johnson was last updated on June 17, 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.