ERIC JOHNSON
NPI 1487011433
Counselor - Mental Health in Oak Bluffs, MA

Active since January 21, 2016PECOS Enrolled
111 EDGARTOWN ROAD, OAK BLUFFS, MA 02557(508) 693-7900 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eric Johnson NPPES

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

ERIC JOHNSON (NPI 1487011433) is an individual mental health provider in Oak Bluffs, Massachusetts and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487011433
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameERIC JOHNSON
Location Address111 EDGARTOWN ROADOak Bluffs, MA 02557
Mailing Address111 Edgartown RoadOak Bluffs, MA 02557 · (508) 693-7900
Sole ProprietorNo
Enumeration DateJanuary 21, 2016
✔ NPI 1487011433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 EDGARTOWN ROAD, Oak Bluffs, MA 02557

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Mental Health (Including Community Mental Health Center)
111 EDGARTOWN RD
Oak Bluffs, MA 02557
  • Reassigned Medicare billing, Massachusetts enrollment
  • 29 clinicians in this Medicare group

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.

Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Clinical Nurse Specialist (Psychiatric/Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Student in an Organized Health Care Education/Training Program
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Counselor (Addiction (Substance Use Disorder))
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557
Counselor (Mental Health)
111 EDGARTOWN ROAD
OAK BLUFFS, MA 02557

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 Eric Johnson's NPI number?

The NPI number for Eric Johnson is 1487011433. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Eric Johnson located?

Eric Johnson practices at 111 Edgartown Road, Oak Bluffs, MA 02557. The listed phone number is (508) 693-7900.

What is Eric Johnson's specialty?

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

Is Eric Johnson enrolled in Medicare?

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

Which organization bills Medicare for Eric Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Johnson reassigns Medicare benefits to Martha's Vineyard Community Services, Inc. (Oak Bluffs, MA). 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 Eric 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 Eric Johnson was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.