SHIRLEY RENEE JOHNSON LPCC-S, LICDC-CS
NPI 1770935009
Counselor - Professional in Gahanna, OH

Active since July 11, 2016PECOS Enrolled
196 MILL ST, GAHANNA, OH 43230(614) 769-8571(614) 417-1451 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2022, Jan 16, 2019, Dec 15, 2018 and 1 more (4 updates tracked since 2016).

About Shirley Renee Johnson Lpcc-s, Licdc-cs NPPES

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

SHIRLEY RENEE JOHNSON LPCC-S, LICDC-CS (NPI 1770935009) is an individual professional provider in Gahanna, Ohio, licensed in Ohio (E.1800985) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770935009
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHIRLEY RENEE JOHNSONCredential: LPCC-S, LICDC-CS
Location Address196 MILL STGahanna, OH 43230-2647
Mailing Address196 Mill StGahanna, OH 43230-2647 · (614) 769-8571 · Fax (614) 417-1451
Fax(614) 417-1451
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 11, 2016
Last NPPES UpdateAugust 27, 20224 updates tracked since enumeration
NPPES CertifiedAugust 27, 2022
NPI 1770935009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E.1800985
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 041011 (OH)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E.1800985 (OH)
196 MILL ST, Gahanna, OH 43230

Other Identifiers 1

Medicaid0176372OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shirley Renee Johnson Lpcc-s, Licdc-cs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294273546
PECOS Enrollment IDI20240817000317
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 2

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

Home Health Aide
196 MILL ST
GAHANNA, OH 43230
Counselor (Mental Health)
196 MILL ST
GAHANNA, OH 43230

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 Shirley Johnson's NPI number?

The NPI number for Shirley Johnson is 1770935009. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Shirley Johnson located?

Shirley Johnson practices at 196 Mill St, Gahanna, OH 43230. The listed phone number is (614) 769-8571.

What is Shirley Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shirley Johnson enrolled in Medicare?

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

What insurance does Shirley Johnson accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Shirley 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 Shirley Johnson was last updated on August 27, 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.