MS. ANNJAVETTA D. JOHNSON M.ED
NPI 1538480157
Counselor - Mental Health in Idabel, OK

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
2000 E LINCOLN RD, IDABEL, OK 74745(580) 286-6639 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Annjavetta D. Johnson M.ed NPPES

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

MS. ANNJAVETTA D. JOHNSON M.ED (NPI 1538480157) is an individual mental health provider in Idabel, Oklahoma and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idabel, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538480157
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANNJAVETTA D. JOHNSONCredential: M.ED
Location Address2000 E LINCOLN RDIdabel, OK 74745-7353
Mailing Address2000 E Lincoln RdIdabel, OK 74745-7353 · (580) 286-6639
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 17, 2010
Last NPPES UpdateJune 3, 2019
✔ NPI 1538480157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2000 E LINCOLN RD, Idabel, OK 74745

Secondary Practice Location 1

Location 1411 S Central AveIdabel, OK 74745-6059 · Phone (580) 286-5045 · Fax (580) 286-5721

Other Identifiers 1

Medicaid1538480157OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Annjavetta D. Johnson M.ed is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648615542
PECOS Enrollment IDI20240301001650
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 20

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

Registered Nurse
2000 E LINCOLN RD
IDABEL, OK 74745
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
Health and Wellness Coach
2000 E LINCOLN RD
IDABEL, OK 74745
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
Counselor (Mental Health)
2000 E LINCOLN RD
IDABEL, OK 74745
Counselor (Mental Health)
2000 E LINCOLN RD, BOX 1527
IDABEL, OK 74745
Case Manager/Care Coordinator
2000 E LINCOLN RD
IDABEL, OK 74745

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 Annjavetta Johnson's NPI number?

The NPI number for Annjavetta Johnson is 1538480157. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Annjavetta Johnson located?

Annjavetta Johnson practices at 2000 E Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 286-6639.

What is Annjavetta Johnson's specialty?

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

Is Annjavetta Johnson enrolled in Medicare?

Yes. Annjavetta Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annjavetta Johnson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Annjavetta 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 Annjavetta Johnson was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.