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

Q: 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.

Q: What is Deborah Johansen's specialty?

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

Q: 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 10 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 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: August 23, 2026.

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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 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

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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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 19

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

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