MR. MICHAEL JOHNSON LCSW
NPI 1225168651
Social Worker - Clinical in Marion, IN

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
5230 S WESTERN AVE, MARION, IN 46953(765) 674-2208(765) 674-3273 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Johnson Lcsw NPPES

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

MR. MICHAEL JOHNSON LCSW (NPI 1225168651) is an individual clinical provider in Marion, Indiana, licensed in Indiana (34001611A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1225168651
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL JOHNSONCredential: LCSW
Location Address5230 S WESTERN AVEMarion, IN 46953-5778
Mailing Address5230 S Western AveMarion, IN 46953-5778 · (765) 674-2208 · Fax (765) 674-3273
Fax(765) 674-3273
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 6, 2007
Last NPPES UpdateJune 15, 2016
NPI 1225168651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34001611A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5230 S WESTERN AVE, Marion, IN 46953

Other Identifiers 5

Medicare PIN180900DIN
Other000000175676IN · Blue Cross Blue Shield
Other2036859IN · Cigna Behavioral Health
Other7887032IN · Aetna
Other459411000IN · Magellan

Accepted 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

Mr. Michael Johnson Lcsw 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 ID2466623475
PECOS Enrollment IDI20110923000388
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
101 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Counselor (Mental Health)
5230 S WESTERN AVE
MARION, IN 46953
Marriage & Family Therapist
5230 S WESTERN AVE
MARION, IN 46953
Social Worker (Clinical)
5230 S WESTERN AVE
MARION, IN 46953
Social Worker (Clinical)
5230 S WESTERN AVE
MARION, IN 46953
Marriage & Family Therapist
5230 S WESTERN AVE
MARION, IN 46953
Marriage & Family Therapist
5230 S WESTERN AVE
MARION, IN 46953
Social Worker (Clinical)
5230 S WESTERN AVE
MARION, IN 46953
Counselor
5230 S WESTERN AVE
MARION, IN 46953

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 Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1225168651. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Michael Johnson located?

Michael Johnson practices at 5230 S Western Ave, Marion, IN 46953. The listed phone number is (765) 674-2208.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Johnson enrolled in Medicare?

Yes. Michael 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 Michael Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Michael 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 Michael Johnson was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.