NIKOLAUS JOHNSON LLC
NPI 1104703636
Clinic/Center - Adult Mental Health in Fort Worth, TX
About Nikolaus Johnson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKOLAUS JOHNSON LLC (NPI 1104703636) is a healthcare organization registered as an adult mental health in Fort Worth, Texas and active in the NPI registry since August 2025. The organization lists Nikolaus Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikolaus Johnson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nikolaus Johnson LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nikolaus Johnson LLC's NPI number?
The NPI number for Nikolaus Johnson LLC is 1104703636. It was assigned to this organization in the NPPES registry on August 18, 2025.
Where is Nikolaus Johnson LLC located?
Nikolaus Johnson LLC is located at 1616 Wabash Ave, Fort Worth, TX 76107. The listed phone number is (817) 953-5159.
What is Nikolaus Johnson LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Nikolaus Johnson LLC enrolled in Medicare?
Yes. Nikolaus Johnson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nikolaus Johnson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Nikolaus Johnson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nikolaus Johnson LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Nikolaus Johnson LLC 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 Nikolaus Johnson LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nikolaus Johnson Llc · NPI 1104703636
Adult Mental Health organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since August 18, 2025.
## Identity
- **NPI:** 1104703636 (Entity type: Organization)
- **Enumerated:** August 18, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Nikolaus Johnson, OWNER
## Practice location
- **Address:** 1616 WABASH AVE, Fort Worth, TX 76107-6598
- **Phone:** (817) 953-5159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104703636) · Data from the CMS NPPES public registry.