TIA JOHNSON MS, LCPC-I
NPI 1104482553
Counselor - Mental Health in Las Vegas, NV

Active since May 10, 2019PECOS Enrolled
2001 E RENO AVE, LAS VEGAS, NV 89119(702) 799-5640 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Dec 9, 2019, May 10, 2019 (3 updates tracked since 2019).

About Tia Johnson Ms, Lcpc-i NPPES

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

TIA JOHNSON MS, LCPC-I (NPI 1104482553) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104482553
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIA JOHNSONCredential: MS, LCPC-I
Location Address2001 E RENO AVELas Vegas, NV 89119-2235
Mailing Address2001 E Reno AveLas Vegas, NV 89119-2235 · (702) 381-1242
Sole ProprietorYes
Enumeration DateMay 10, 2019
Last NPPES UpdateJune 9, 20233 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
NPI 1104482553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2001 E RENO AVE, Las Vegas, NV 89119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tia Johnson Ms, Lcpc-i 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.

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 Tia Johnson's NPI number?

The NPI number for Tia Johnson is 1104482553. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Tia Johnson located?

Tia Johnson practices at 2001 E Reno Ave, Las Vegas, NV 89119. The listed phone number is (702) 799-5640.

What is Tia Johnson's specialty?

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

Is Tia Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tia Johnson was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.