MRS. MCKENZIE JOHNSON LCMHC
NPI 1588036362
Counselor - Mental Health in Raleigh, NC

Active since October 20, 2015PECOS Enrolled
4304 SIR JULIAN CT, RALEIGH, NC 27610(984) 920-2866 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1588036362
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MCKENZIE JOHNSONCredential: LCMHC
Location Address4304 SIR JULIAN CTRaleigh, NC 27610-8717
Mailing Address4304 Sir Julian CtRaleigh, NC 27610-8717 · (984) 920-2866
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 20, 2015
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1588036362 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
Licenses Licensed in NC · A11790 Licensed in NC · 11790
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 11790 (NC)
4304 SIR JULIAN CT, Raleigh, NC 27610

Other Names 1

Former Name (1)Miss Mckenzie Bolton Lcmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mckenzie Johnson Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527536994
PECOS Enrollment IDI20260504007341
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

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

Clinic/Center (Adult Mental Health)
4304 SIR JULIAN CT
RALEIGH, NC 27610

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.

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.