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MS. DEBORAH M. JOHANSEN LPC, CLINICAL SUP.
NPI 1417409483
Counselor - Professional in Mesa, AZ

Active since October 26, 2016PECOS Enrolled
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206(480) 608-5250(480) 608-5251 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Deborah M. Johansen Lpc, Clinical Sup. NPPES

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

MS. DEBORAH M. JOHANSEN LPC, CLINICAL SUP. (NPI 1417409483) is an individual professional provider in Mesa, Arizona, licensed in Arizona (14026) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1417409483
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. DEBORAH M. JOHANSENCredential: LPC, CLINICAL SUP.
Location Address4111 E VALLEY AUTO DR STE 201Mesa, AZ 85206-4609
Mailing Address4111 E Valley Auto Dr Ste 201Mesa, AZ 85206-4609 · (480) 608-5250 · Fax (480) 608-5251
Phone(480) 608-5250
Fax(480) 608-5251
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 26, 2016
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1417409483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · 14026
4111 E VALLEY AUTO DR STE 201, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Location 1

Location 114325 E BUFFALO STGILBERT, AZ 85295-5907 · Phone (480) 608-5250 · Fax (480) 608-5251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deborah M. Johansen Lpc, Clinical Sup. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456841535
PECOS Enrollment IDI20251125003192
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 Reassignment

Medicare enrollment records show Deborah Johansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundation For Healing, LLC
Same address
Multi-Specialty
4111 E VALLEY AUTO DR STE 201
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
NPI 1205325198 (480) 608-5250

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

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.

DENISE JAUREGUI
Social Worker (Clinical)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (602) 935-4414
MRS. SARAH MARIE STRAZZA FNP-C
Nurse Practitioner (Family)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (480) 272-0252
TWC COUNSELING
Social Worker (Clinical)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (806) 046-5394
FOUNDATION FOR HEALING, LLC
Clinic/Center (Multi-Specialty)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (480) 608-5250
TRUE LIFE COUNSELING PLLC
Counselor (Mental Health)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (602) 358-9257
OLUWAGBEMIGA ODEDE NP
Nurse Practitioner (Psychiatric/Mental Health)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (470) 313-2572
SUNCATCHER THERAPY, LLC
Counselor (Mental Health)
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (520) 840-6339
BROOK OF CHERITH PSYCH CONSULT LLC
Community/Behavioral Health
4111 E VALLEY AUTO DR STE 201
MESA, AZ 85206
Maricopa County (602) 842-3600

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 Deborah Johansen's NPI number?

The NPI number for Deborah Johansen is 1417409483. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Deborah Johansen located?

Deborah Johansen practices at 4111 E Valley Auto Dr Ste 201, Mesa, AZ 85206. The listed phone number is (480) 608-5250.

What is Deborah Johansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Deborah Johansen enrolled in Medicare?

Yes. Deborah Johansen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deborah Johansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Johansen reassigns Medicare benefits to Foundation For Healing, LLC (Mesa, AZ). The 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 Deborah Johansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Johansen accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Deborah Johansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deborah Johansen was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.