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MR. RANDY J. JOHNSON LCMHC
NPI 1790745404
Counselor - Professional in Clemmons, NC

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
2235 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012(336) 722-7266(336) 201-0538 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy J. Johnson Lcmhc NPPES

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

MR. RANDY J. JOHNSON LCMHC (NPI 1790745404) is an individual professional provider in Clemmons, North Carolina, licensed in North Carolina (3008) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boone, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1790745404
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RANDY J. JOHNSONCredential: LCMHC
Location Address2235 LEWISVILLE CLEMMONS RD STE AClemmons, NC 27012-9342
Mailing Address713 S Marshall StWinston Salem, NC 27101-5808 · (336) 722-7266 · Fax (336) 201-0538
Phone(336) 722-7266
Fax(336) 201-0538
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 25, 2006
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1790745404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 3008
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2235 LEWISVILLE CLEMMONS RD STE A, Clemmons, NC 27012
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Secondary Practice Location 1

Location 1895 State Farm Rd, Suite 508Boone, NC 28607-4917 · Phone (828) 264-9007 · Fax (828) 262-5687

Other Identifiers 5

Medicaid6102482NC
Other1236VNC · Bcbs Of Nc
OtherD9674NC · Medcost
Medicaid6102747NC
OtherD0751NC · Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Randy J. Johnson Lcmhc 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 ID8729423827
PECOS Enrollment IDI20240228003321
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 7

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

LINA ROE LCSW-A
Social Worker (Clinical)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 722-7266
JILL ELYSE ROGERS LCMHC-S
Counselor (Mental Health)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 722-7266
MAHALA MOTZNY MS/EDS
Counselor (Mental Health)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 408-6917
JOSHUA GUTIERREZ LCMHC-A, LCAS-A
Counselor (Mental Health)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 722-7266
LINDSAY PONCE LCMHC-A
Counselor (Mental Health)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 568-8516
ELLENA VANESSA RUBINSTEIN LCMHC
Counselor (Mental Health)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 722-7266
MR. JEFFREY WILLIAM RINEHART LPA
Psychologist (Clinical)
2235 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012
Forsyth County (336) 722-7266

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 Randy Johnson's NPI number?

The NPI number for Randy Johnson is 1790745404. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Randy Johnson located?

Randy Johnson practices at 2235 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012. The listed phone number is (336) 722-7266.

What is Randy Johnson's specialty?

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

Is Randy Johnson enrolled in Medicare?

Yes. Randy 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.

What insurance does Randy Johnson accept?

Health plans from Blue Cross and Blue Shield of NC list Randy 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 Randy Johnson was last updated on May 3, 2023. 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.