MS. SUSAN RENEE JOHNSON LPC
NPI 1275089930
Counselor - Mental Health in Parksley, VA
About Ms. Susan Renee Johnson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSAN RENEE JOHNSON LPC (NPI 1275089930) is an individual mental health provider in Parksley, Virginia, licensed in Virginia (0701005349) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Accomac, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ms. Susan Renee Johnson Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Parksley, VA 23421
- Reassigned Medicare billing, Virginia enrollment
- 27 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARKSLEY, VA 23421
PARKSLEY, VA 23421
PARKSLEY, VA 23421
PARKSLEY, VA 23421
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 Susan Johnson's NPI number?
The NPI number for Susan Johnson is 1275089930. It was assigned to this individual provider in the NPPES registry on August 31, 2016.
Where is Susan Johnson located?
Susan Johnson practices at 19056 Greenbush Road, Parksley, VA 23421. The listed phone number is (757) 665-1260.
What is Susan Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Susan Johnson enrolled in Medicare?
Yes. Susan 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.
Which organization bills Medicare for Susan Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Johnson reassigns Medicare benefits to Eastern Shore Community Mh Mr Sas Services Board (Parksley, VA). 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 Susan Johnson'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 Susan Johnson was last updated on March 17, 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.
# Ms. Susan Renee Johnson, LPC · NPI 1275089930
Mental Health provider in Parksley, Virginia. Individual provider, active in the CMS NPPES registry since August 31, 2016.
## Identity
- **NPI:** 1275089930 (Entity type: Individual)
- **Enumerated:** August 31, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701005349 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 19056 GREENBUSH ROAD, Parksley, VA 23421
- **Phone:** (757) 665-1260 · **Fax:** (757) 665-4184
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Eastern Shore Community Mh Mr Sas Services Board (NPI 1154411510, Parksley, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1275089930) · Data from the CMS NPPES public registry.