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KRISTINA LEE JOHNSON LCSW
NPI 1396479788
Social Worker - Clinical in Benton, AR

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
110 PEARSON, BENTON, AR 72015(501) 315-4224(501) 778-0450 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Kristina Lee Johnson Lcsw NPPES

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

KRISTINA LEE JOHNSON LCSW (NPI 1396479788) is an individual clinical provider in Benton, Arkansas, licensed in Arkansas (11766-C) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396479788
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA LEE JOHNSONCredential: LCSW
Location Address110 PEARSONBenton, AR 72015-4436
Mailing Address110 PearsonBenton, AR 72015-4436 · (501) 315-4224 · Fax (501) 778-0450
Phone(501) 315-4224
Fax(501) 778-0450
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1396479788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 11766-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 11766-M (AR)
110 PEARSON, Benton, AR 72015
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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

Kristina Lee Johnson Lcsw 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 ID2365943198
PECOS Enrollment IDI20250902002772
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VENSON MOORE
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
STEPHEN PEAIRSON JR. LCSW
Social Worker (Clinical)
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
KAYLA NELSON QBHP
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
JORDAN YARBERRY
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
CHLOE TUCKER QBHP
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
ELIJAH SCRUGGS
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
SERINO JACKSON QBHP
Case Manager/Care Coordinator
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224
VERONICA BRADSHAW LMSW
Social Worker
110 PEARSON
BENTON, AR 72015
Saline County (501) 315-4224

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 Kristina Johnson's NPI number?

The NPI number for Kristina Johnson is 1396479788. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Kristina Johnson located?

Kristina Johnson practices at 110 Pearson, Benton, AR 72015. The listed phone number is (501) 315-4224.

What is Kristina Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristina Johnson enrolled in Medicare?

Yes. Kristina 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.

When was this NPI record last updated?

The NPPES record for Kristina Johnson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.