LINDLEY ROBERT JOHNSON LPC, MAC
NPI 1124177050
Counselor in Portland, OR

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
621 SW ALDER ST, SUITE 520, PORTLAND, OR 97205(503) 494-4745(205) 494-4747 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lindley Robert Johnson Lpc, Mac NPPES

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

LINDLEY ROBERT JOHNSON LPC, MAC (NPI 1124177050) is an individual counselor in Portland, Oregon and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124177050
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLINDLEY ROBERT JOHNSONCredential: LPC, MAC
Location Address621 SW ALDER ST, SUITE 520Portland, OR 97205-3626
Mailing Address621 Sw Alder St Ste 520Portland, OR 97205-3620 · (503) 418-0885
Fax(205) 494-4747
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1124177050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
621 SW ALDER ST, Portland, OR 97205

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

Lindley Robert Johnson Lpc, Mac 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 ID5597115527
PECOS Enrollment IDI20240103000950
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.

Medicare Billing Reassignment

Medicare enrollment records show Lindley Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 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.

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Psychiatry)
621 SW ALDER ST, SUITE #520
PORTLAND, OR 97205
Social Worker (Clinical)
621 SW ALDER ST, SUITE 400
PORTLAND, OR 97205
Counselor (Mental Health)
621 SW ALDER ST
PORTLAND, OR 97205
Counselor (Professional)
621 SW ALDER ST, SUITE 520
PORTLAND, OR 97205
Counselor (Professional)
621 SW ALDER ST, SUITE 520
PORTLAND, OR 97205
Community/Behavioral Health
621 SW ALDER ST, SUITE 400
PORTLAND, OR 97205
Psychiatry & Neurology (Psychiatry)
621 SW ALDER ST, SUITE 520
PORTLAND, OR 97205

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 Lindley Johnson's NPI number?

The NPI number for Lindley Johnson is 1124177050. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Lindley Johnson located?

Lindley Johnson practices at 621 SW Alder St Suite 520, Portland, OR 97205. The listed phone number is (503) 494-4745.

What is Lindley Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lindley Johnson enrolled in Medicare?

Yes. Lindley 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 organization bills Medicare for Lindley Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lindley Johnson reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Lindley Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lindley Johnson accept?

Health plans from Kaiser Permanente and PacificSource Health Plans list Lindley 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 Lindley Johnson was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.