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MRS. MARY THERESA JOHNSON M.A.
NPI 1164516175
Counselor - Mental Health in Worcester, MA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
338 HIGHLAND STREET, WORCESTER, MA 01602(508) 752-5880(508) 831-9967 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Theresa Johnson M.a. NPPES

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

MRS. MARY THERESA JOHNSON M.A. (NPI 1164516175) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (1003) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sturbridge, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164516175
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARY THERESA JOHNSONCredential: M.A.
Location Address338 HIGHLAND STREETWorcester, MA 01602
Mailing Address338 Highland StreetWorcester, MA 01602 · (508) 752-5880 · Fax (508) 831-9967
Phone(508) 752-5880
Fax(508) 831-9967
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 3, 2006
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1164516175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 1003
338 HIGHLAND STREET, Worcester, MA 01602
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Secondary Practice Location 1

Location 1258 Main StSturbridge, MA 01566-1540 · Phone (508) 418-6888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Theresa Johnson M.a. 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 ID2567802580
PECOS Enrollment IDI20240424002283
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

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

NEWTON SQUARE HEALTH CENTER, PC
Counselor (Mental Health)
338 HIGHLAND STREET
WORCESTER, MA 01602
Worcester County (508) 752-5880

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1164516175. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 338 Highland Street, Worcester, MA 01602. The listed phone number is (508) 752-5880.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mary 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 Mary Johnson was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.