MS. SUSAN RENEE JOHNSON LPC
NPI 1275089930
Counselor - Mental Health in Parksley, VA

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
19056 GREENBUSH ROAD, PARKSLEY, VA 23421(757) 665-1260(757) 665-4184 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Dec 6, 2017, Aug 31, 2016 (3 updates tracked since 2016).

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

NPI1275089930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSAN RENEE JOHNSONCredential: LPC
Location Address19056 GREENBUSH ROADParksley, VA 23421
Mailing AddressPo Box 1330Parksley, VA 23421-1330 · (757) 665-1260 · Fax (757) 665-4184
Fax(757) 665-4184
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1275089930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0701005349
19056 GREENBUSH ROAD, Parksley, VA 23421

Secondary Practice Location 1

Location 123322 Courthouse Ave, PO Box 938Accomac, VA 23301-0938 · Phone (757) 709-4722 · Fax (844) 563-6080

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

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.

PECOS PAC ID1850738691
PECOS Enrollment IDI20240328001349
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.

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.

Psychiatry & Neurology (Addiction Psychiatry)
19056 GREENBUSH ROAD, 19056 GREENBUSH ROAD
PARKSLEY, VA 23421
Counselor (Professional)
19056 GREENBUSH ROAD
PARKSLEY, VA 23421
Counselor (Professional)
19056 GREENBUSH ROAD
PARKSLEY, VA 23421
Counselor (Professional)
19056 GREENBUSH ROAD
PARKSLEY, VA 23421
Counselor (Professional)
19056 GREENBUSH ROAD, EASTERN SHORE BEHAVIORAL HEALTHCARE CTR
PARKSLEY, VA 23421
Counselor (Professional)
19056 GREENBUSH ROAD, EASTERN SHORE BEHAVIOR HEALTHCARE CENTER
PARKSLEY, VA 23421
Nurse Practitioner (Psychiatric/Mental Health)
19056 GREENBUSH ROAD
PARKSLEY, VA 23421

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275089930, enumerated as an "individual" on August 31, 2016.

The provider is located at 19056 GREENBUSH ROAD PARKSLEY, VA 23421 and the phone number is (757) 665-1260.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.