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NATASSIA JOHNSON
NPI 1205519352
Psychologist - Clinical in Houston, TX

Active since August 07, 2023Opted out of Medicare · through Feb 6, 2028
4007 WIMBERLEY HOLLOW LN, HOUSTON, TX 77053(832) 922-0274 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Natassia Johnson NPPES

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

NATASSIA JOHNSON (NPI 1205519352) is an individual clinical provider in Houston, Texas, licensed in Texas (39633) and active in the NPI registry since August 2023. She has opted out of Medicare through February 6, 2028.

NPPES Registry Identity

NPI1205519352
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNATASSIA JOHNSON
Location Address4007 WIMBERLEY HOLLOW LNHouston, TX 77053-4570
Mailing Address4007 Wimberley Hollow LnHouston, TX 77053-4570 · (832) 922-0274
Phone(832) 922-0274
Sole ProprietorNo
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1205519352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 39633
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4007 WIMBERLEY HOLLOW LN, Houston, TX 77053
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Natassia Johnson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024
Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Natassia Johnson's NPI number?

The NPI number for Natassia Johnson is 1205519352. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Natassia Johnson located?

Natassia Johnson practices at 4007 Wimberley Hollow Ln, Houston, TX 77053. The listed phone number is (832) 922-0274.

What is Natassia Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Natassia Johnson enrolled in Medicare?

No. Natassia Johnson has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Natassia Johnson was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.