DR. TERESA L JOHNSON PH.D.
NPI 1750631057
Psychologist - Counseling in Old Fort, NC

Active since September 13, 2012Opted out of Medicare · through Mar 22, 2028
513 SILVERS WELCH RD, OLD FORT, NC 28762(603) 865-1934(855) 899-6197 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 13, 2024, Jun 11, 2021 (2 updates tracked since 2021).

About Dr. Teresa L Johnson Ph.d. NPPES

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

DR. TERESA L JOHNSON PH.D. (NPI 1750631057) is an individual counseling provider in Old Fort, North Carolina, licensed in North Carolina (4778) and active in the NPI registry since September 2012. She has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750631057
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. TERESA L JOHNSONCredential: PH.D.
Location Address513 SILVERS WELCH RDOld Fort, NC 28762-8752
Mailing AddressPo Box 1247Black Mountain, NC 28711-1247 · (603) 865-1934 · Fax (855) 899-6197
Fax(855) 899-6197
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1750631057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in NC · 4778
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
513 SILVERS WELCH RD, Old Fort, NC 28762

Other Names 1

Former Name (1)Teresa L Johnson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Teresa L Johnson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Teresa Johnson's NPI number?

The NPI number for Teresa Johnson is 1750631057. It was assigned to this individual provider in the NPPES registry on September 13, 2012. The provider is also known as Teresa L Johnson.

Where is Teresa Johnson located?

Teresa Johnson practices at 513 Silvers Welch Rd, Old Fort, NC 28762. The listed phone number is (603) 865-1934.

What is Teresa Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Teresa Johnson enrolled in Medicare?

No. Teresa Johnson has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Teresa Johnson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.