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MATTHEW TYLER JOHNSON LICSW
NPI 1487227229
Counselor - Mental Health in Edina, MN

Active since July 20, 2021PECOS Enrolled
4820 77TH ST W STE 117, EDINA, MN 55435(612) 208-2762 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Tyler Johnson Licsw NPPES

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

MATTHEW TYLER JOHNSON LICSW (NPI 1487227229) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (27484) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487227229
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW TYLER JOHNSONCredential: LICSW
Location Address4820 77TH ST W STE 117Edina, MN 55435-4809
Mailing Address800 Prairie Center Dr Ste 210Eden Prairie, MN 55344-7306 · (612) 888-0544
Phone(612) 208-2762
Sole ProprietorYes
Enumeration DateJuly 20, 2021
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1487227229 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 MN · 27484
4820 77TH ST W STE 117, Edina, MN 55435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 Tyler Johnson Licsw 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.

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 1487227229. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Matthew Johnson located?

Matthew Johnson practices at 4820 77th St W Ste 117, Edina, MN 55435. The listed phone number is (612) 208-2762.

What is Matthew Johnson's specialty?

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

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 HealthPartners 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 January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.