DAVID JOHNSON LMHC
NPI 1396978003
Counselor - Mental Health in Indian Harbour Beach, FL

Active since August 27, 2009PECOS Enrolled
1861 S PATRICK DR, BOX 166, INDIAN HARBOUR BEACH, FL 32937(321) 693-4573(321) 610-8880 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Johnson Lmhc NPPES

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

DAVID JOHNSON LMHC (NPI 1396978003) is an individual mental health provider in Indian Harbour Beach, Florida, licensed in Florida (MH 9197) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396978003
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID JOHNSONCredential: LMHC
Location Address1861 S PATRICK DR, BOX 166Indian Harbour Beach, FL 32937-4377
Mailing Address1861 S Patrick Dr, Box 166Indian Harbour Beach, FL 32937-4377 · (321) 693-4573 · Fax (321) 610-8880
Fax(321) 610-8880
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 27, 2009
NPI 1396978003 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
License Licensed in FL · MH 9197
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAP 3095 (FL)
1861 S PATRICK DR, Indian Harbour Beach, FL 32937

Other Identifiers 2

OtherMH9197FL · Lmhc
OtherCAP 3095FL · Cap

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Johnson Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315429305
PECOS Enrollment IDI20260308000068
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

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

Social Worker
1861 S PATRICK DR, BOX 166
INDIAN HARBOUR BEACH, FL 32937

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 David Johnson's NPI number?

The NPI number for David Johnson is 1396978003. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is David Johnson located?

David Johnson practices at 1861 S Patrick Dr Box 166, Indian Harbour Beach, FL 32937. The listed phone number is (321) 693-4573.

What is David Johnson's specialty?

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

Is David Johnson enrolled in Medicare?

Yes. David Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Johnson was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.