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ELIZABETH A JOHNSON PHD
NPI 1558406595
Psychologist - Clinical in Colorado Springs, CO

Active since February 20, 2007PECOS Enrolled
612 W CUCHARRAS ST, COLORADO SPRINGS, CO 80905(719) 632-7474 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 22, 2017 and 2 more (5 updates tracked since 2017).

About Elizabeth A Johnson Phd NPPES

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

ELIZABETH A JOHNSON PHD (NPI 1558406595) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (0002384) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1558406595
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELIZABETH A JOHNSONCredential: PHD
Location Address612 W CUCHARRAS STColorado Springs, CO 80905-1616
Mailing Address4860 Robb St, Ste 201Wheat Ridge, CO 80033-2162 · (303) 278-7418 · Fax (888) 341-5050
Phone(719) 632-7474
Sole ProprietorNo
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1558406595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CO · 0002384✔ Licensed in WY · 397
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
612 W CUCHARRAS ST, Colorado Springs, CO 80905
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1101 S Union BlvdColorado Springs, CO 80910-3137 · Phone (719) 634-6711
Location 21795 Monterey RdColorado Springs, CO 80910-1823 · Phone (719) 471-7850
Location 33625 Parkmoor Village DrColorado Springs, CO 80917-5205 · Phone (719) 550-0200
Location 4945 Desert Flower BlvdPueblo, CO 81001-1181 · Phone (719) 545-5321

Other Identifiers 1

Medicaid118779100WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Premise Health Of Colorado Medical PC
2.6 mi
Primary Care
2880 INTERNATIONAL CIR
Colorado Springs, CO 80910
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1992940951 (719) 520-7080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elizabeth Johnson's NPI number?

The NPI number for Elizabeth Johnson is 1558406595. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Elizabeth Johnson located?

Elizabeth Johnson practices at 612 W Cucharras St, Colorado Springs, CO 80905. The listed phone number is (719) 632-7474.

What is Elizabeth Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Johnson enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Johnson reassigns Medicare benefits to Premise Health Of Colorado Medical PC (Colorado Springs, CO). 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 Elizabeth 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 Elizabeth Johnson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.