ROBBY GORDON JOHNSON MA
NPI 1144654849
Counselor in Boise, ID

Active since August 29, 2013PECOS Enrolled
100 E IDAHO ST, BOISE, ID 83712(208) 381-2711(208) 381-4025 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robby Gordon Johnson Ma NPPES

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

ROBBY GORDON JOHNSON MA (NPI 1144654849) is an individual counselor in Boise, Idaho, licensed in Idaho (LCPC 4843) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1144654849
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROBBY GORDON JOHNSONCredential: MA
Location Address100 E IDAHO STBoise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-4025
Sole ProprietorYes
Enumeration DateAugust 29, 2013
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1144654849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses Licensed in ID · LCPC 4843 Licensed in WA · LH 00011315 Licensed in OR · C2770
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.

100 E IDAHO ST, Boise, ID 83712

Secondary Practice Location 1

Location 13218 W Overland RdBoise, ID 83705-3046 · Phone (208) 305-4330

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robby Gordon Johnson Ma 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.

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.

Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712

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 Robby Johnson's NPI number?

The NPI number for Robby Johnson is 1144654849. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Robby Johnson located?

Robby Johnson practices at 100 E Idaho St, Boise, ID 83712. The listed phone number is (208) 381-2711.

What is Robby Johnson's specialty?

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

Is Robby Johnson enrolled in Medicare?

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

What insurance does Robby Johnson accept?

Health plans from Moda Health Plan, Inc. list Robby 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 Robby Johnson was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.