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MATTHEW JOHNSON M.A., M.DIV
NPI 1467179929
Counselor - Addiction (Substance Use Disorder) in Kodak, TN

Active since October 25, 2022PECOS Enrolled
2450 WINFIELD DUNN PKWY, KODAK, TN 37764(865) 805-0567 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Johnson M.a., M.div NPPES

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

MATTHEW JOHNSON M.A., M.DIV (NPI 1467179929) is an individual addiction (substance use disorder) provider in Kodak, Tennessee and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467179929
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW JOHNSONCredential: M.A., M.DIV
Location Address2450 WINFIELD DUNN PKWYKodak, TN 37764-2100
Mailing Address2450 Winfield Dunn PkwyKodak, TN 37764-2100
Phone(865) 805-0567
Sole ProprietorNo
Enumeration DateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1467179929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2450 WINFIELD DUNN PKWY, Kodak, TN 37764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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)

Matthew Johnson M.a., M.div 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.

Other Providers at the Same Location NPPES 3

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

JANICE HENDRIX LCSW
Social Worker (Clinical)
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567
LIFECHANGERS OUTREACH
Clinic/Center (Rehabilitation, Substance Use Disorder)
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567
RESTORATION HOUSE MINISTRIES
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567

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 Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1467179929. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Matthew Johnson located?

Matthew Johnson practices at 2450 Winfield Dunn Pkwy, Kodak, TN 37764. The listed phone number is (865) 805-0567.

What is Matthew Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Matthew Johnson enrolled in Medicare?

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

What insurance does Matthew Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Matthew Johnson 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 Matthew Johnson was last updated on October 25, 2022. 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.