MRS. AMY DALE MERCADO JOHNSON M.ED., LPC, NCC
NPI 1376829945
Counselor - Mental Health in Fayetteville, NC

NPI Status: Active since October 27, 2011

Contact Information

711 EXECUTIVE PL
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 615-3750

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • PECOS Enrolled

About AMY JOHNSON

This page provides the complete NPI Profile along with additional information for Amy Johnson, a provider established in Fayetteville, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1376829945 assigned on October 2011. The practitioner's primary taxonomy code is 101YM0800X with license number 8796 (NC). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1376829945
Provider Name
MRS. AMY DALE MERCADO JOHNSON M.ED., LPC, NCC
Gender
Female
Entity Type
Individual
Location Address
711 EXECUTIVE PL FAYETTEVILLE, NC 28305
Location Phone
(910) 615-3750
Mailing Address
711 EXECUTIVE PL FL 3 FAYETTEVILLE, NC 28305
Is Sole Proprietor?
Yes
Enumeration Date
10-27-2011
Last Update Date
05-06-2026
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A mental health counselor like Amy Johnson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 803 Tilghman Dr Ste 100
    Dunn, NC 28334
    (910) 892-1091
  • 1535 N Raleigh St
    Angier, NC 27501
    (910) 615-3333
  • 716 S 10th St
    Lillington, NC 27546
    (910) 892-4248

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
8796
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

QS142206 (NC)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

8796 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Silver Simple Chronic Care CKM | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ Dental + Vision (No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6104912MEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Amy Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. AMY DALE MERCADO JOHNSON M.ED., LPC, NCC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376829945, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 6 + 2 + 1 + 8 + 9 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376829945.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Residential Treatment Facility, Emotionally Disturbed Children
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL, 214
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Addiction (Substance Use Disorder))
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Durable Medical Equipment & Medical Supplies
711 EXECUTIVE PL, CAP PROGRAM
FAYETTEVILLE, NC 28305
Counselor (Professional)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Psychologist (Clinical Child & Adolescent)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Psychiatry & Neurology (Psychiatry)
711 EXECUTIVE PL, 3RD FLOOR
FAYETTEVILLE, NC 28305
Psychologist
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Addiction (Substance Use Disorder))
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Marriage & Family Therapist
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Nurse Practitioner (Psychiatric/Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Physician Assistant
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376829945, enumerated as an "individual" on October 27, 2011.

The provider is located at 711 EXECUTIVE PL FAYETTEVILLE, NC 28305 and the phone number is (910) 615-3750.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Oscar Health. Please consult your insurance carrier or call the provider to verify.