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

Q: What is Amy Johnson's NPI number?

The NPI number for Amy Johnson is 1376829945. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Q: What is Amy Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amy Johnson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since October 27, 2011PECOS Enrolled

711 EXECUTIVE PL, FAYETTEVILLE, NC 28305(910) 615-3750 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Feb 4, 2026, Feb 10, 2025 (3 updates tracked since 2025).

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About Mrs. Amy Dale Mercado Johnson M.ed., Lpc, Ncc NPPES

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

MRS. AMY DALE MERCADO JOHNSON M.ED., LPC, NCC (NPI 1376829945) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (8796) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376829945

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. AMY DALE MERCADO JOHNSONCredential: M.ED., LPC, NCC

Location Address711 EXECUTIVE PLFayetteville, NC 28305-5193

Mailing Address711 Executive Pl Fl 3Fayetteville, NC 28305-5193

Phone(910) 615-3750

Sole ProprietorYes

Enumeration DateOctober 27, 2011

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1376829945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in NC · 8796✔ Licensed in NC · QS142206

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8796 (NC)

711 EXECUTIVE PL, Fayetteville, NC 28305

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Secondary Practice Locations 3

Location 1716 S 10th StLillington, NC 27546-5615 · Phone (910) 892-4248

Location 2803 Tilghman Dr Ste 100Dunn, NC 28334-6699 · Phone (910) 892-1091 · Fax (910) 892-1097

Location 31535 N Raleigh StAngier, NC 27501-8920 · Phone (910) 615-3333 · Fax (910) 615-3750

Other Identifiers 1

Medicaid6104912NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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)

Mrs. Amy Dale Mercado Johnson M.ed., Lpc, Ncc 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.

Other Providers at the Same Location NPPES 20

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

CHERYL NICOLE FISHER FNP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)