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MRS. DEIDRA MCGIE JOHNSON LCP
NPI 1568655637
Psychologist - Clinical Child & Adolescent in Pittsburg, KS

Active since August 22, 2007PECOS Enrolled
1102 S. ROUSE, PITTSBURG, KS 66762(620) 231-5310(620) 231-9893 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Deidra Mcgie Johnson Lcp NPPES

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

MRS. DEIDRA MCGIE JOHNSON LCP (NPI 1568655637) is an individual clinical child & adolescent provider in Pittsburg, Kansas, licensed in Kansas (LCP - 269) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568655637
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMRS. DEIDRA MCGIE JOHNSONCredential: LCP
Location Address1102 S. ROUSEPittsburg, KS 66762
Mailing Address1102 S. RousePittsburg, KS 66762 · (620) 231-5310 · Fax (620) 231-9893
Phone(620) 231-5310
Fax(620) 231-9893
Sole ProprietorNo
Enumeration DateAugust 22, 2007
Last NPPES UpdateOctober 23, 2013
✔ NPI 1568655637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in KS · LCP - 269
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LCP - 269 (KS)
1102 S. ROUSE, Pittsburg, KS 66762
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Other Names 1

Former Name (1)Miss Deidra Louise Mcgie Lmlp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.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. Deidra Mcgie Johnson Lcp 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 Deidra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Kansas Mental Health Center
47 mi
Family Medicine
505 S PLUMMER AVE
Chanute, KS 66720
  • Reassigned Medicare billing, Kansas enrollment
  • 25 clinicians in this Medicare group
NPI 1356122998 (620) 431-2500

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

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 Deidra Johnson's NPI number?

The NPI number for Deidra Johnson is 1568655637. It was assigned to this individual provider in the NPPES registry on August 22, 2007. The provider is also known as Miss Deidra Louise Mcgie Lmlp.

Where is Deidra Johnson located?

Deidra Johnson practices at 1102 S. Rouse, Pittsburg, KS 66762. The listed phone number is (620) 231-5310.

What is Deidra Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Deidra Johnson enrolled in Medicare?

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

Which organization bills Medicare for Deidra Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidra Johnson reassigns Medicare benefits to Southeast Kansas Mental Health Center (Chanute, KS). 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 Deidra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deidra Johnson accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Deidra 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 Deidra Johnson was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.