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KENYATTA L JOHNSON
NPI 1144910027
Social Worker in Pflugerville, TX

Active since May 12, 2023PECOS EnrolledAccepts Medicare Assignment
17304 BORROMEO AVE, PFLUGERVILLE, TX 78660(512) 680-8443 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenyatta L Johnson NPPES

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

KENYATTA L JOHNSON (NPI 1144910027) is an individual social worker in Pflugerville, Texas, licensed in Texas (64915) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144910027
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENYATTA L JOHNSON
Location Address17304 BORROMEO AVEPflugerville, TX 78660-6073
Mailing Address17304 Borromeo AvePflugerville, TX 78660-6073
Phone(512) 680-8443
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 12, 2023
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1144910027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in TX · 64915
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 1144910027 (UT)
17304 BORROMEO AVE, Pflugerville, TX 78660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and more.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

Kenyatta L Johnson 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 ID3870033434
PECOS Enrollment IDI20240910001475
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 Kenyatta Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
1,002 mi
Family Medicine
535 S MAIN ST
Monroe, UT 84754
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1912256611 (435) 527-8865

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 Kenyatta Johnson's NPI number?

The NPI number for Kenyatta Johnson is 1144910027. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Kenyatta Johnson located?

Kenyatta Johnson practices at 17304 Borromeo Ave, Pflugerville, TX 78660. The listed phone number is (512) 680-8443.

What is Kenyatta Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kenyatta Johnson enrolled in Medicare?

Yes. Kenyatta 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 Kenyatta Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyatta Johnson reassigns Medicare benefits to Ihc Health Services Inc (Monroe, UT). 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 Kenyatta Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyatta Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Harbor Health and Mountain Health CO-OP and 4 other insurers list Kenyatta 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 Kenyatta Johnson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.