MR. JOHNNIE LYNN TAYLOR III MA
NPI 1245878354
Counselor - Professional in Glassboro, NJ

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment
42 DELSEA DR S, GLASSBORO, NJ 08028(844) 422-3632 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Johnnie Lynn Taylor Iii Ma NPPES

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

MR. JOHNNIE LYNN TAYLOR III MA (NPI 1245878354) is an individual professional provider in Glassboro, New Jersey and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245878354
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOHNNIE LYNN TAYLOR IIICredential: MA
Location Address42 DELSEA DR SGlassboro, NJ 08028-2621
Mailing Address111 Hampshire DrDeptford, NJ 08096-4208 · (609) 556-7607
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 19, 2019
✔ NPI 1245878354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
42 DELSEA DR S, Glassboro, NJ 08028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Johnnie Lynn Taylor Iii Ma 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 ID2668916644
PECOS Enrollment IDI20240701003714
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.

Medicare Billing Reassignment

Medicare enrollment records show Johnnie Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
151 FRIES MILL RD STE 301
Turnersville, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
42 DELSEA DR S
GLASSBORO, NJ 08028
Counselor (Professional)
42 DELSEA DR S
GLASSBORO, NJ 08028
Counselor (Mental Health)
42 DELSEA DR S
GLASSBORO, NJ 08028
Social Worker (Clinical)
42 DELSEA DR S
GLASSBORO, NJ 08028
Social Worker
42 DELSEA DR S
GLASSBORO, NJ 08028
Counselor (Mental Health)
42 DELSEA DR S
GLASSBORO, NJ 08028
Counselor
42 DELSEA DR S
GLASSBORO, NJ 08028
Social Worker (Clinical)
42 DELSEA DR S
GLASSBORO, NJ 08028

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 Johnnie Taylor's NPI number?

The NPI number for Johnnie Taylor is 1245878354. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is Johnnie Taylor located?

Johnnie Taylor practices at 42 Delsea Dr S, Glassboro, NJ 08028. The listed phone number is (844) 422-3632.

What is Johnnie Taylor's specialty?

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

Is Johnnie Taylor enrolled in Medicare?

Yes. Johnnie Taylor 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.

Which organization bills Medicare for Johnnie Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnnie Taylor reassigns Medicare benefits to The Artemis Center For Guidance (Turnersville, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnnie Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnnie Taylor was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.