CRYSTAL JOHNSON
NPI 1184097230
Counselor - Professional in Slidell, LA

Active since November 10, 2015PECOS Enrolled
2053 GAUSE BLVD E, SLIDELL, LA 70461(985) 649-1001 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Nov 2, 2018, Nov 10, 2015 (3 updates tracked since 2015).

About Crystal Johnson NPPES

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

CRYSTAL JOHNSON (NPI 1184097230) is an individual professional provider in Slidell, Louisiana, licensed in Louisiana (6538) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184097230
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL JOHNSON
Location Address2053 GAUSE BLVD ESlidell, LA 70461-5449
Mailing Address39110 Taylor StPearl River, LA 70452-5038 · (985) 863-2591
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 10, 2015
Last NPPES UpdateSeptember 9, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1184097230 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 LA · 6538
Also ListedCounselorTaxonomy 101Y00000X · License 009506945 (LA)
2053 GAUSE BLVD E, Slidell, LA 70461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Crystal Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143703686
PECOS Enrollment IDI20260312001057
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 17

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

Counselor (Professional)
2053 GAUSE BLVD E, 150
SLIDELL, LA 70461
Counselor (Mental Health)
2053 GAUSE BLVD E, SUITE150
SLIDELL, LA 70461
Counselor (Mental Health)
2053 GAUSE BLVD E
SLIDELL, LA 70461
Counselor
2053 GAUSE BLVD E
SLIDELL, LA 70461
Counselor (Mental Health)
2053 GAUSE BLVD E
SLIDELL, LA 70461
Community/Behavioral Health
2053 GAUSE BLVD E, SUITE 150
SLIDELL, LA 70461
Counselor
2053 GAUSE BLVD E
SLIDELL, LA 70461
Counselor
2053 GAUSE BLVD E
SLIDELL, LA 70461

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 Crystal Johnson's NPI number?

The NPI number for Crystal Johnson is 1184097230. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Crystal Johnson located?

Crystal Johnson practices at 2053 Gause Blvd E, Slidell, LA 70461. The listed phone number is (985) 649-1001.

What is Crystal Johnson's specialty?

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

Is Crystal Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Crystal Johnson was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.