SHELLY MAE JOHNSON L.P.C.C.
NPI 1326455510
Counselor - Professional in Bryan, OH

Active since July 19, 2014PECOS Enrolled
113 S BEECH ST, BRYAN, OH 43506(419) 212-5938(419) 784-2255 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2019, Mar 1, 2017 (2 updates tracked since 2017).

About Shelly Mae Johnson L.p.c.c. NPPES

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

SHELLY MAE JOHNSON L.P.C.C. (NPI 1326455510) is an individual professional provider in Bryan, Ohio, licensed in Ohio (E.1300335) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326455510
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHELLY MAE JOHNSONCredential: L.P.C.C.
Location Address113 S BEECH STBryan, OH 43506-1602
Mailing Address113 S Beech StBryan, OH 43506-1602 · (419) 212-5938 · Fax (419) 754-2255
Fax(419) 784-2255
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 19, 2014
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
NPI 1326455510 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 OH · E.1300335
113 S BEECH ST, Bryan, OH 43506

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelly Mae Johnson L.p.c.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981038247
PECOS Enrollment IDI20251205002760
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


The following 2 providers are registered at the same or a nearby location.

Social Worker
113 S BEECH ST
BRYAN, OH 43506
Behavior Analyst
113 S BEECH ST
BRYAN, OH 43506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326455510, enumerated as an "individual" on July 19, 2014.

The provider is located at 113 S BEECH ST BRYAN, OH 43506 and the phone number is (419) 212-5938.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.