MRS. SHANTA JOHNSON LCSW
NPI 1023569613
Social Worker - Clinical in Creedmoor, NC
About Mrs. Shanta Johnson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANTA JOHNSON LCSW (NPI 1023569613) is an individual clinical provider in Creedmoor, North Carolina, licensed in North Carolina (C008341) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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. Shanta 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.
Medicare Billing Reassignments
5Medicare enrollment records show Shanta Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Creedmoor, NC 27522
- Reassigned Medicare billing, North Carolina enrollment
Durham, NC 27701
- Reassigned Medicare billing, Massachusetts enrollment
- 78 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Texas enrollment
- 1,573 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Florida, Texas and Virginia enrollments
- 238 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, North Carolina enrollment
- 108 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CREEDMOOR, NC 27522
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 Shanta Johnson's NPI number?
The NPI number for Shanta Johnson is 1023569613. It was assigned to this individual provider in the NPPES registry on October 18, 2016.
Where is Shanta Johnson located?
Shanta Johnson practices at 1195 Shining Water Ln, Creedmoor, NC 27522. The listed phone number is (984) 209-0303.
What is Shanta Johnson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Shanta Johnson enrolled in Medicare?
Yes. Shanta 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 Shanta Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanta Johnson reassigns Medicare benefits to 5 organizations: Reflective Counseling Services, PLLC (Creedmoor, NC), Mental Health Specialty Group PA (Durham, NC), Grow Healthcare Group PA (Miami, FL), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). 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 Shanta Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanta Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 7 other insurers list Shanta 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 Shanta Johnson was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mrs. Shanta Johnson, LCSW · NPI 1023569613
Clinical provider in Creedmoor, North Carolina. Individual provider, active in the CMS NPPES registry since October 18, 2016.
## Identity
- **NPI:** 1023569613 (Entity type: Individual)
- **Enumerated:** October 18, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C008341 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1195 SHINING WATER LN, Creedmoor, NC 27522-7243
- **Phone:** (984) 209-0303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Reflective Counseling Services, PLLC (NPI 1679067995, Creedmoor, NC); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023569613) · Data from the CMS NPPES public registry.