BETHANY JOHNSON LCPC, LADC, CCS
NPI 1568865673
Counselor - Mental Health in Saco, ME

Active since October 02, 2014PECOS EnrolledAccepts Medicare Assignment
342 NORTH ST APT 606, SACO, ME 04072(072) 812-4602 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Johnson Lcpc, Ladc, Ccs NPPES

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

BETHANY JOHNSON LCPC, LADC, CCS (NPI 1568865673) is an individual mental health provider in Saco, Maine, licensed in Maine (CC5612) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568865673
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETHANY JOHNSONCredential: LCPC, LADC, CCS
Location Address342 NORTH ST APT 606Saco, ME 04072-1857
Mailing Address342 North St Apt 606Saco, ME 04072-1857 · (207) 281-2460
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2014
Last NPPES UpdateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1568865673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ME · CC5612
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC5947 (ME)
342 NORTH ST APT 606, Saco, ME 04072

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

Bethany Johnson Lcpc, Ladc, Ccs 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 ID648613844
PECOS Enrollment IDI20240205002093
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 Bethany Johnson's NPI number?

The NPI number for Bethany Johnson is 1568865673. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Bethany Johnson located?

Bethany Johnson practices at 342 North St Apt 606, Saco, ME 04072. The listed phone number is (072) 812-4602.

What is Bethany Johnson's specialty?

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

Is Bethany Johnson enrolled in Medicare?

Yes. Bethany 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.

When was this NPI record last updated?

The NPPES record for Bethany Johnson was last updated on October 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.