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SUSAN ELAINE JOHNSON LPCC
NPI 1447810890
Counselor - Mental Health in Davis, CA

Active since June 18, 2019PECOS Enrolled
207 E ST STE B, DAVIS, CA 95616(530) 206-9996 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2020, Dec 31, 2019, Jun 18, 2019 (3 updates tracked since 2019).

About Susan Elaine Johnson Lpcc NPPES

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

SUSAN ELAINE JOHNSON LPCC (NPI 1447810890) is an individual mental health provider in Davis, California, licensed in California (13270) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1447810890
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN ELAINE JOHNSONCredential: LPCC
Location Address207 E ST STE BDavis, CA 95616-4523
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900
Phone(530) 206-9996
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1447810890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 13270
207 E ST STE B, Davis, CA 95616
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1601 Court StJackson, CA 95642-2160 · Phone (916) 583-8007
Location 24825 J St Ste 100Sacramento, CA 95819-3747 · Phone (916) 583-8007
Location 34250 Auburn BlvdSacramento, CA 95841-4100 · Phone (916) 489-3336
Location 47000 Franklin Blvd Ste 625Sacramento, CA 95823-1884 · Phone (916) 388-9418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Elaine Johnson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Susan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forward Wellness Family Therapy, Inc.
390 mi
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
NPI 1093398059 (800) 701-0937

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.

CARLOS LUCAS LMFT
Marriage & Family Therapist
207 E ST STE B
DAVIS, CA 95616
Yolo County (916) 576-7900
DR. KATARINA VAMVOURIS PSY.D
Psychologist
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
MR. PHILLIP KENT BOONE
Marriage & Family Therapist
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
GILLIAN FRANCIS LCSW
Social Worker (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
DR. PILAR ANTONIA GONZALEZ-DOUPE PH.D., M.SC.
Psychologist (Counseling)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
ADITYA G REDDY M.D.
Psychiatry & Neurology (Psychiatry)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
SARA ANNE ROTELLA
Social Worker (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (530) 206-9996
ACACIA PSYCHOLOGICAL CORPORATION
Psychologist (Clinical)
207 E ST STE B
DAVIS, CA 95616
Yolo County (805) 472-6099

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 Susan Johnson's NPI number?

The NPI number for Susan Johnson is 1447810890. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Susan Johnson located?

Susan Johnson practices at 207 E St Ste B, Davis, CA 95616. The listed phone number is (530) 206-9996.

What is Susan Johnson's specialty?

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

Is Susan Johnson enrolled in Medicare?

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

Which organization bills Medicare for Susan Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Johnson reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, CA). 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 Susan 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 Susan Johnson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.