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ALYSA HARLESS JOHNSON LCSW
NPI 1235590258
Social Worker - Clinical in Penn Valley, CA

Active since March 18, 2016PECOS Enrolled
14011 LODGEPOLE CT, PENN VALLEY, CA 95946(906) 407-0047(916) 405-4002 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Mar 17, 2018, Jan 9, 2018 and 2 more (5 updates tracked since 2016).

About Alysa Harless Johnson Lcsw NPPES

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

ALYSA HARLESS JOHNSON LCSW (NPI 1235590258) is an individual clinical provider in Penn Valley, California, licensed in California (77484) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235590258
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALYSA HARLESS JOHNSONCredential: LCSW
Location Address14011 LODGEPOLE CTPenn Valley, CA 95946-9128
Mailing Address11354 Pleasant Valley Rd # 94Penn Valley, CA 95946-9000 · (906) 407-0047
Phone(906) 407-0047
Fax(916) 405-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 18, 2016
Last NPPES UpdateMarch 9, 20225 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1235590258 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 CA · 77484
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.
14011 LODGEPOLE CT, Penn Valley, CA 95946
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Other Names 1

Former Name (1)Miss Alysa Harless

Secondary Practice Locations 2

Location 1100 Prison RdRepresa, CA 95671-3000 · Phone (916) 985-8610 ext. 6260
Location 215301 Warren Shingle RdBeale AFB, CA 95903-1907 · Phone (530) 634-4662

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769756451
PECOS Enrollment IDI20260609002519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95946 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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

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

THERAPY LINK, LICENSED CLINICAL SOCIAL WORKER, INC.
Social Worker (Clinical)
14011 LODGEPOLE CT
PENN VALLEY, CA 95946
Nevada County (916) 599-5524

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 Alysa Johnson's NPI number?

The NPI number for Alysa Johnson is 1235590258. It was assigned to this individual provider in the NPPES registry on March 18, 2016. The provider is also known as Miss Alysa Harless.

Where is Alysa Johnson located?

Alysa Johnson practices at 14011 Lodgepole Ct, Penn Valley, CA 95946. The listed phone number is (906) 407-0047.

What is Alysa Johnson's specialty?

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

Is Alysa Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alysa Johnson was last updated on March 9, 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.