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MARLON JOHNSON LPC, LICDC
NPI 1154873685
Counselor - Professional in Cleveland, OH

Active since November 01, 2016PECOS EnrolledAccepts Medicare Assignment
1744 PAYNE AVE, CLEVELAND, OH 44114(216) 623-6555 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2022, Aug 29, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2016).

About Marlon Johnson Lpc, Licdc NPPES

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

MARLON JOHNSON LPC, LICDC (NPI 1154873685) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (E.2202779) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154873685
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARLON JOHNSONCredential: LPC, LICDC
Location Address1744 PAYNE AVECleveland, OH 44114-2910
Mailing Address4314 S Parkside DrBrooklyn, OH 44144-2724 · (216) 970-8307
Phone(216) 623-6555
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 1, 2016
Last NPPES UpdateJuly 19, 20224 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1154873685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2202779
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.162004 (OH)
1744 PAYNE AVE, Cleveland, OH 44114
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Other Identifiers 1

Medicaid0391321OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource 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

Marlon Johnson Lpc, Licdc 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 ID3274970066
PECOS Enrollment IDI20240328003074
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 Reassignments

2

Medicare enrollment records show Marlon Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florence Kimbo M.D., LLC
12 mi
Psychiatry
7530 LUCERNE DR STE 110
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Florence Kimbo MD LLC
  • 20 clinicians in this Medicare group
NPI 1457788960 (440) 234-8746
Lake-Geauga Recovery Centers, Inc.
22 mi
Substance Abuse Rehabilitation Facility
9083 MENTOR AVENUE
Mentor, OH 44060
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1750489779 (440) 205-2674

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.

MICHAEL SANFORD
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
DANIELLE PECK
Social Worker (Clinical)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
BRANDON RHONE PETERSON
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
EMILY MARIE GRIMM APRN, MS, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
ADRIAN WILLIAMS
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
MEGAN BRINKER
Social Worker (Clinical)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 361-8640
GISELA STARNER
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
DELVON SIMS
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555

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 Marlon Johnson's NPI number?

The NPI number for Marlon Johnson is 1154873685. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Marlon Johnson located?

Marlon Johnson practices at 1744 Payne Ave, Cleveland, OH 44114. The listed phone number is (216) 623-6555.

What is Marlon Johnson's specialty?

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

Is Marlon Johnson enrolled in Medicare?

Yes. Marlon 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 organizations bill Medicare for Marlon Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Johnson reassigns Medicare benefits to 2 organizations: Florence Kimbo M.D., LLC (Middleburg Heights, OH) and Lake-Geauga Recovery Centers, Inc. (Mentor, OH). Each 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 Marlon Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlon Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, MedMutual and Oscar Health Insurance and 2 other insurers list Marlon 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 Marlon Johnson was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.