DARRELL JOHNSON CADC II, CGAC II
NPI 1053638684
Counselor - Addiction (Substance Use Disorder) in Albany, OR

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
104 4TH AVE SW RM 238, ALBANY, OR 97321(541) 967-3819 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Jan 14, 2016 (2 updates tracked since 2016).

About Darrell Johnson Cadc Ii, Cgac Ii NPPES

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

DARRELL JOHNSON CADC II, CGAC II (NPI 1053638684) is an individual addiction (substance use disorder) provider in Albany, Oregon, licensed in Oregon (10-03-17) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053638684
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDARRELL JOHNSONCredential: CADC II, CGAC II
Location Address104 4TH AVE SW RM 238Albany, OR 97321-2804
Mailing AddressPo Box 17818Salem, OR 97305-7818 · (503) 399-5597
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2010
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1053638684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 10-03-17
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
104 4TH AVE SW RM 238, Albany, OR 97321

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Darrell Johnson Cadc Ii, Cgac Ii 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 ID8921548058
PECOS Enrollment IDI20240904002107
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321
Social Worker (Clinical)
104 4TH AVE SW RM 238
ALBANY, OR 97321
Counselor (Professional)
104 4TH AVE SW RM 238
ALBANY, OR 97321
Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321
Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321
Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321
Community/Behavioral Health
104 4TH AVE SW RM 238
ALBANY, OR 97321
Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321

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 Darrell Johnson's NPI number?

The NPI number for Darrell Johnson is 1053638684. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Darrell Johnson located?

Darrell Johnson practices at 104 4th Ave SW Rm 238, Albany, OR 97321. The listed phone number is (541) 967-3819.

What is Darrell Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Darrell Johnson enrolled in Medicare?

Yes. Darrell 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.

What insurance does Darrell Johnson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Darrell 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 Darrell Johnson was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.