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MRS. SHAHEEDRA AVEONNE JOHNSON M.S., LPC
NPI 1497599054
Counselor - Professional in Dallas, TX

Active since June 19, 2024PECOS Enrolled
4040 N CENTRAL EXPY STE 670, DALLAS, TX 75204(469) 290-4285 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Jun 19, 2024 (2 updates tracked since 2024).

About Mrs. Shaheedra Aveonne Johnson M.s., Lpc NPPES

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

MRS. SHAHEEDRA AVEONNE JOHNSON M.S., LPC (NPI 1497599054) is an individual professional provider in Dallas, Texas, licensed in Texas (90422) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesquite.

NPPES Registry Identity

NPI1497599054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHAHEEDRA AVEONNE JOHNSONCredential: M.S., LPC
Location Address4040 N CENTRAL EXPY STE 670Dallas, TX 75204-3158
Mailing Address1925 Jade Forest LnMesquite, TX 75181-4310 · (469) 290-4285
Phone(469) 290-4285
Sole ProprietorNo
Enumeration DateJune 19, 2024
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1497599054 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 TX · 90422
4040 N CENTRAL EXPY STE 670, Dallas, TX 75204
Open in Google Maps ↗

Secondary Practice Location 1

Location 1323 S Bryan Belt Line RdMesquite, TX 75149-4663 · Phone (972) 288-2225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shaheedra Aveonne Johnson M.s., Lpc 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 Reassignments

2

Medicare enrollment records show Shaheedra Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Collin County Mental Health Mental Retardation Center
29 mi
Mental Health
1515 HERITAGE DR STE 105
Mckinney, TX 75069
  • Reassigned Medicare billing, Texas enrollment
  • 92 clinicians in this Medicare group
NPI 1871576835 (972) 562-0190
Mental Health Specialty Group PA
1,044 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas enrollment
  • 315 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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.

BRIDGEWELL COGNITIVE HEALTH
Psychologist
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (469) 382-4264
ASHLEY ELIZABETH KLEIN LPC, LCDC
Counselor (Professional)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (972) 849-3466
LIFT THERAPIES, LLC
Clinic/Center (Adolescent and Children Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (214) 755-5973
MR. ANDREW SIBLEY LMFT, LPC
Counselor (Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (214) 227-6651
ALEX MYERS COUNSELING PLLC
Counselor (Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (940) 586-6239
MS. MARY MARGARET FAIR LCSW
Social Worker (Clinical)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (213) 233-6253
ADT COMPREHENSIVE SERVICES PLLC
Psychologist
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (817) 841-9028
CAMRI NICOLE COBBS LPCA
Counselor (Mental Health)
4040 N CENTRAL EXPY STE 670
DALLAS, TX 75204
Dallas County (972) 372-9764

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 Shaheedra Johnson's NPI number?

The NPI number for Shaheedra Johnson is 1497599054. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Shaheedra Johnson located?

Shaheedra Johnson practices at 4040 N Central Expy Ste 670, Dallas, TX 75204. The listed phone number is (469) 290-4285.

What is Shaheedra Johnson's specialty?

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

Is Shaheedra Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Shaheedra Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaheedra Johnson reassigns Medicare benefits to 2 organizations: Collin County Mental Health Mental Retardation Center (Mckinney, TX) and Mental Health Specialty Group PA (Durham, NC). Each 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 Shaheedra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaheedra Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Shaheedra 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 Shaheedra Johnson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.