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MARY JOHNSON
NPI 1386315059
Counselor - Mental Health in Bronx, NY

Active since September 23, 2021PECOS EnrolledAccepts Medicare Assignment
1240 WALTON AVE APT 205, BRONX, NY 10452(646) 899-5481 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2021, Sep 23, 2021 (2 updates tracked since 2021).

About Mary Johnson NPPES

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

MARY JOHNSON (NPI 1386315059) is an individual mental health provider in Bronx, New York and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386315059
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY JOHNSON
Location Address1240 WALTON AVE APT 205Bronx, NY 10452-8004
Mailing Address1240 Walton Ave Apt 205Bronx, NY 10452-8004 · (646) 899-5481
Phone(646) 899-5481
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 23, 2021
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1386315059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1240 WALTON AVE APT 205, Bronx, NY 10452
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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

Mary Johnson 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 ID2860938735
PECOS Enrollment IDI20240726003512
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Senior Care Therapy Lcsw Of New York PLLC
8.7 mi
Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1932677168 (973) 264-0023
Che Senior Psychological Services, PC
10 mi
Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
NPI 1023078219 (888) 515-3834
Open Door Family Medical Center, Inc.
13 mi
Federally Qualified Health Center (FQHC)
689 MAMARONECK AVE
Mamaroneck, NY 10543
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1487194155 (914) 732-0233
Knapp Street Psychiatry, PC
17 mi
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1043248776 (888) 515-3834

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
480 services84 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services37 patients

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1386315059. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Mary Johnson located?

Mary Johnson practices at 1240 Walton Ave Apt 205, Bronx, NY 10452. The listed phone number is (646) 899-5481.

What is Mary Johnson's specialty?

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

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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 organizations bill Medicare for Mary Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Johnson reassigns Medicare benefits to 4 organizations: Senior Care Therapy Lcsw Of New York PLLC (Flushing, NY), Che Senior Psychological Services, PC (Brooklyn, NY), Open Door Family Medical Center, Inc. (Mamaroneck, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). Each 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 Mary 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 Mary Johnson was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.