AMBER M JOHNSON - NPI 1053077982 - Social Worker in Lexington, KY

Q: What is Amber Johnson's NPI number?

The NPI number for Amber Johnson is 1053077982. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Q: What is Amber Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Amber Johnson enrolled in Medicare?

No. Amber Johnson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amber Johnson was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Amber M Johnson NPPES

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

AMBER M JOHNSON (NPI 1053077982) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (256233) and active in the NPI registry since November 2021. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1053077982

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMBER M JOHNSON

Location Address90 SOUTHPORT DRLexington, KY 40503-1819

Mailing Address90 Southport DrLexington, KY 40503-1819 · (859) 288-7580 · Fax (859) 373-8033

Phone(859) 288-7580

Fax(859) 373-8033

Sole ProprietorNo

Enumeration DateNovember 15, 2021

NPPES CertifiedNovember 15, 2021

✔ NPI 1053077982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 256233

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

90 SOUTHPORT DR, Lexington, KY 40503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amber M Johnson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

JESSICA N BROWN MS, BCBA, LBA

Behavior Analyst