TANYA M JOHANSON LCPC
NPI 1801215520
Counselor - Professional in Lewiston, ME

Q: What is Tanya Johanson's NPI number?

The NPI number for Tanya Johanson is 1801215520. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Tanya Johanson's specialty?

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

Q: Is Tanya Johanson enrolled in Medicare?

No. Tanya Johanson has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tanya Johanson was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 09, 2014Opted out of Medicare · through Apr 3, 2028

1155 LISBON ST, LEWISTON, ME 04240(207) 783-9141(207) 783-4660 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanya M Johanson Lcpc NPPES

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

TANYA M JOHANSON LCPC (NPI 1801215520) is an individual professional provider in Lewiston, Maine, licensed in Maine (CC5423) and active in the NPI registry since April 2014. She has opted out of Medicare through April 3, 2028 and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1801215520

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTANYA M JOHANSONCredential: LCPC

Location Address1155 LISBON STLewiston, ME 04240-5025

Mailing Address1155 Lisbon StLewiston, ME 04240-5025 · (207) 783-9141 · Fax (207) 783-4660

Phone(207) 783-9141

Fax(207) 783-4660

Sole ProprietorNo

Enumeration DateApril 9, 2014

Last NPPES UpdateMay 4, 2021

NPPES CertifiedMay 4, 2021

✔ NPI 1801215520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ME · CC5423

1155 LISBON ST, Lewiston, ME 04240

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Secondary Practice Location 1

Location 166 Stone StAugusta, ME 04330-5227 · Phone (207) 626-3455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanya M Johanson Lcpc 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 April 3, 2026 through April 3, 2028.

Opt-Out Effective DateApril 3, 2026

Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

JILL CHATBURN LMSW-CC

Social Worker