ALISA R JOHNSON LPCC
NPI 1598475212
Counselor - Professional in Willmar, MN
About Alisa R Johnson Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA R JOHNSON LPCC (NPI 1598475212) is an individual professional provider in Willmar, Minnesota, licensed in Minnesota (3612) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alisa R Johnson Lpcc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Alisa Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 3 clinicians in this Medicare group
Spicer, MN 56288
- Reassigned Medicare billing, Minnesota enrollment
- 5 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Minnesota enrollment
- 98 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 3
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 Alisa Johnson's NPI number?
The NPI number for Alisa Johnson is 1598475212. It was assigned to this individual provider in the NPPES registry on December 5, 2022.
Where is Alisa Johnson located?
Alisa Johnson practices at 217 Industrial Dr SW, Willmar, MN 56201. The listed phone number is (320) 295-3450.
What is Alisa Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Alisa Johnson enrolled in Medicare?
Yes. Alisa 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.
Which organizations bill Medicare for Alisa Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Johnson reassigns Medicare benefits to 3 organizations: Community Outreach Counseling PC (Willmar, MN), Ametrine Mental Health PLLC (Spicer, MN) and Mental Health Specialty Group PA (Durham, NC). Each 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 Alisa 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 Alisa Johnson was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alisa R Johnson, LPCC · NPI 1598475212
Professional provider in Willmar, Minnesota. Individual provider, active in the CMS NPPES registry since December 5, 2022.
## Identity
- **NPI:** 1598475212 (Entity type: Individual)
- **Enumerated:** December 5, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3612 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 217 INDUSTRIAL DR SW, Willmar, MN 56201-2989
- **Phone:** (320) 295-3450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Outreach Counseling PC (NPI 1245673482, Willmar, MN); Ametrine Mental Health PLLC (NPI 1902526437, Spicer, MN); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1598475212) · Data from the CMS NPPES public registry.