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OLIVIA JOHNSON LPCC
NPI 1134817679
Counselor - Professional in Coon Rapids, MN

Active since April 24, 2023PECOS Enrolled
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(612) 767-7222 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olivia Johnson Lpcc NPPES

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

OLIVIA JOHNSON LPCC (NPI 1134817679) is an individual professional provider in Coon Rapids, Minnesota, licensed in Minnesota (CC03739) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134817679
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOLIVIA JOHNSONCredential: LPCC
Location Address9120 SPRINGBROOK DR NWCoon Rapids, MN 55433-5845
Mailing Address9120 Springbrook Dr NwCoon Rapids, MN 55433-5845 · (612) 767-7222
Phone(612) 767-7222
Sole ProprietorNo
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1134817679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC03739
9120 SPRINGBROOK DR NW, Coon Rapids, MN 55433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Johnson Lpcc 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.

Medicare Billing Reassignment

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

Fraser Child And Family Center
12 mi
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

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 20

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

DESIREE BEASLEY
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (952) 767-7222
SARAH JOY LYNCH MS, BCBA
Behavior Analyst
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 767-7222
SAHAAM AHMED ABDI
Speech-Language Pathologist
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 400-6171
ALYSSA KATHRYN CASSIERE
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 331-9413
FATUMA A MOHAMED
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
ASANTI CHINKSSO
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
CAMPBELLE BAUER
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 817-1887
MEGHAN P RAJKOWSKI LPCC
Counselor (Mental Health)
9120 SPRINGBROOK DR NW
MINNEAPOLIS, MN 55433
Anoka County (763) 281-2590

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 Olivia Johnson's NPI number?

The NPI number for Olivia Johnson is 1134817679. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Olivia Johnson located?

Olivia Johnson practices at 9120 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (612) 767-7222.

What is Olivia Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Olivia Johnson enrolled in Medicare?

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

Which organization bills Medicare for Olivia Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Johnson reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). 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 Olivia Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Johnson accept?

Health plans from HealthPartners list Olivia 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 Olivia Johnson was last updated on April 24, 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.