MRS. MCKENZIE JOHNSON LCMHC
NPI 1588036362
Counselor - Mental Health in Raleigh, NC
About Mrs. Mckenzie Johnson Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MCKENZIE JOHNSON LCMHC (NPI 1588036362) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (A11790) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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. Mckenzie Johnson Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mckenzie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, North Carolina enrollment
- 712 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckenzie Johnson's NPI number?
The NPI number for Mckenzie Johnson is 1588036362. It was assigned to this individual provider in the NPPES registry on October 20, 2015. The provider is also known as Miss Mckenzie Bolton Lcmhc.
Where is Mckenzie Johnson located?
Mckenzie Johnson practices at 4304 Sir Julian Ct, Raleigh, NC 27610. The listed phone number is (984) 920-2866.
What is Mckenzie Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mckenzie Johnson enrolled in Medicare?
Yes. Mckenzie Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mckenzie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Johnson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Mckenzie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mckenzie Johnson accept?
Health plans from Blue Cross and Blue Shield of NC list Mckenzie 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 Mckenzie Johnson was last updated on January 14, 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.
# Mrs. Mckenzie Johnson, LCMHC · NPI 1588036362
Mental Health provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1588036362 (Entity type: Individual)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A11790 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4304 SIR JULIAN CT, Raleigh, NC 27610-8717
- **Phone:** (984) 920-2866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1588036362) · Data from the CMS NPPES public registry.