MRS. AMY LYNN-SMITH JOHNSON MSW, LCSW
NPI 1720174022
Counselor - Mental Health in Fayetteville, NC

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
581 EXECUTIVE PL, SUITE 500, FAYETTEVILLE, NC 28305(910) 493-3555(910) 493-3520 Get Directions Write a Review

NPPES record last updated: May 14, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Amy Lynn-smith Johnson Msw, Lcsw NPPES

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

MRS. AMY LYNN-SMITH JOHNSON MSW, LCSW (NPI 1720174022) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (C005604) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2004).

NPPES Registry Identity

NPI1720174022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. AMY LYNN-SMITH JOHNSONCredential: MSW, LCSW
Location Address581 EXECUTIVE PL, SUITE 500Fayetteville, NC 28305-5702
Mailing Address4948 Grays Creek Church RdHope Mills, NC 28348-7810 · (910) 850-2095
Fax(910) 493-3520
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2004
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 14, 2016
✔ NPI 1720174022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C005604
581 EXECUTIVE PL, Fayetteville, NC 28305

Other Identifiers 1

Medicaid6106625NC

Accepted Insurance

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

Mrs. Amy Lynn-smith Johnson Msw, Lcsw 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 ID5193880375
PECOS Enrollment IDI20090223000534
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 Amy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
920 CAMBRIDGE ST
Fayetteville, NC 28303
  • Reassigned Medicare billing, North Carolina enrollment
  • 10 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 5

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

Behavior Analyst
581 EXECUTIVE PL, SUITE 500
FAYETTEVILLE, NC 28305
Technician, Other
581 EXECUTIVE PL, SUITE 500
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
581 EXECUTIVE PL, SUITE 500
FAYETTEVILLE, NC 28305
Behavior Analyst
581 EXECUTIVE PL, SUITE 500
FAYETTEVILLE, NC 28305
Community/Behavioral Health
581 EXECUTIVE PL, SUITE 500
FAYETTEVILLE, NC 28305

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 Amy Johnson's NPI number?

The NPI number for Amy Johnson is 1720174022. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Amy Johnson located?

Amy Johnson practices at 581 Executive Pl Suite 500, Fayetteville, NC 28305. The listed phone number is (910) 493-3555.

What is Amy Johnson's specialty?

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

Is Amy Johnson enrolled in Medicare?

Yes. Amy 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 organization bills Medicare for Amy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Johnson reassigns Medicare benefits to A New Leaf Therapeutic Services, PLLC (Fayetteville, NC). 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 Amy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Amy 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 Amy Johnson was last updated on May 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.