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MATTHEW JOHNSON MA LPCC
NPI 1265764641
Counselor - Professional in Minneapolis, MN

Active since February 09, 2010PECOS Enrolled
219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414(612) 886-2524(612) 886-2538 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Johnson Ma Lpcc NPPES

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

MATTHEW JOHNSON MA LPCC (NPI 1265764641) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (CC00100) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265764641
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW JOHNSONCredential: MA LPCC
Location Address219 SE MAIN ST STE 400Minneapolis, MN 55414
Mailing Address219 Se Main St Ste 400Minneapolis, MN 55414-2151 · (612) 886-2524 · Fax (612) 886-2538
Phone(612) 886-2524
Fax(612) 886-2538
Sole ProprietorNo
Enumeration DateFebruary 9, 2010
Last NPPES UpdateJune 12, 2018
✔ NPI 1265764641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC00100
219 SE MAIN ST STE 400, Minneapolis, MN 55414
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Matthew Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Healing Hideout LLC
9.5 mi
Clinical
4951 77TH ST W # 1
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1922824879 (952) 239-1121

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 8

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

SAMUEL JOHNSON
Social Worker (Clinical)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
SUSAN GUSTAFSON LP
Psychologist (Clinical)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
MR. DAVID WESLEY WERNER LICSW
Social Worker (Clinical)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
DR. LISA JENNET TRUMP PH.D., LMFT
Psychologist (Family)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County
KRISTEN ELIZABETH RACHEL DOUCETTE MA, LPCC
Counselor (Mental Health)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
STEPHANIE M MICHAELS PSYD, LP
Psychologist (Counseling)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
MS. JENNIFER ANN LACROIX MA, LMFT
Marriage & Family Therapist
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524
RAPHAEL ANTHONY SZYKOWSKI LICSW
Social Worker (Clinical)
219 SE MAIN ST STE 400
MINNEAPOLIS, MN 55414
Hennepin County (612) 886-2524

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 Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1265764641. It was assigned to this individual provider in the NPPES registry on February 9, 2010.

Where is Matthew Johnson located?

Matthew Johnson practices at 219 SE Main St Ste 400, Minneapolis, MN 55414. The listed phone number is (612) 886-2524.

What is Matthew Johnson's specialty?

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

Is Matthew Johnson enrolled in Medicare?

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

Which organization bills Medicare for Matthew Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Johnson reassigns Medicare benefits to The Healing Hideout LLC (Edina, MN). 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 Matthew Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Johnson accept?

Health plans from HealthPartners list Matthew 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 Matthew Johnson was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.