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DAXTON MARK JOHNSON
NPI 1720775448
Counselor - Mental Health in Salt Lake City, UT

Active since April 21, 2023PECOS Enrolled
5296 S 300 W, SALT LAKE CITY, UT 84107(801) 921-7854 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daxton Mark Johnson NPPES

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

DAXTON MARK JOHNSON (NPI 1720775448) is an individual mental health provider in Salt Lake City, Utah and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murray, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720775448
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAXTON MARK JOHNSON
Location Address5296 S 300 WSalt Lake City, UT 84107-4767
Mailing Address1848 E American Way Unit 9Eagle Mountain, UT 84005-6316 · (801) 864-0600
Phone(801) 921-7854
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 21, 2023
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1720775448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5296 S 300 W, Salt Lake City, UT 84107
Open in Google Maps ↗

Secondary Practice Location 1

Location 11935 E Vine St Ste 170Murray, UT 84121-2197 · Phone (801) 639-9833 · Fax (801) 639-9833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daxton Mark Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719468990
PECOS Enrollment IDI20260225003004
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 Reassignments

2

Medicare enrollment records show Daxton Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Living Waters Counseling LLC
0.1 mi
Clinical
5296 S COMMERCE DR STE 206
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1295497873 (801) 599-0649
Sl-Center Of Revitalizing Psychiatry LLC
3.3 mi
Psychiatry
1935 E VINE ST STE 170
Murray, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1194691931 (801) 639-9833

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Daxton Johnson's NPI number?

The NPI number for Daxton Johnson is 1720775448. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Daxton Johnson located?

Daxton Johnson practices at 5296 S 300 W, Salt Lake City, UT 84107. The listed phone number is (801) 921-7854.

What is Daxton Johnson's specialty?

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

Is Daxton Johnson enrolled in Medicare?

Yes. Daxton Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daxton Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daxton Johnson reassigns Medicare benefits to 2 organizations: Living Waters Counseling LLC (Murray, UT) and Sl-Center Of Revitalizing Psychiatry LLC (Murray, UT). 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 Daxton Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daxton Johnson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Daxton 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 Daxton Johnson was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.