DR. JOHNNY JASON BUCK LPC
NPI 1144575382
Counselor - Professional in Phoenix, AZ
About Dr. Johnny Jason Buck Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHNNY JASON BUCK LPC (NPI 1144575382) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-13746) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Johnny Jason Buck Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Johnny Buck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Brightside Medical PA
- 31 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Johnny Buck's NPI number?
The NPI number for Johnny Buck is 1144575382. It was assigned to this individual provider in the NPPES registry on July 13, 2012.
Where is Johnny Buck located?
Johnny Buck practices at 14256 S 47th St, Phoenix, AZ 85044. The listed phone number is (480) 510-8502.
What is Johnny Buck's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Johnny Buck enrolled in Medicare?
Yes. Johnny Buck 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 Johnny Buck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Buck reassigns Medicare benefits to Brightside Medical, P.A. (San Francisco, CA). 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 Johnny Buck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Buck accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Johnny Buck 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 Johnny Buck was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Johnny Jason Buck, LPC · NPI 1144575382
Professional provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 13, 2012.
## Identity
- **NPI:** 1144575382 (Entity type: Individual)
- **Enumerated:** July 13, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-13746 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14256 S 47TH ST, Phoenix, AZ 85044-6205
- **Phone:** (480) 510-8502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1144575382) · Data from the CMS NPPES public registry.