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ALIDA JOHNSON MA, LMHC
NPI 1881166247
Counselor - Mental Health in Bothell, WA

Active since December 26, 2018Opted out of Medicare · through Jan 30, 2027
22125 17TH AVE SE STE 101, BOTHELL, WA 98021(206) 858-1177(206) 913-2369 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2021, Dec 26, 2018 (2 updates tracked since 2018).

About Alida Johnson Ma, Lmhc NPPES

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

ALIDA JOHNSON MA, LMHC (NPI 1881166247) is an individual mental health provider in Bothell, Washington, licensed in Washington (LH61155059) and active in the NPI registry since December 2018. She has opted out of Medicare through January 30, 2027.

NPPES Registry Identity

NPI1881166247
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALIDA JOHNSONCredential: MA, LMHC
Location Address22125 17TH AVE SE STE 101Bothell, WA 98021-7409
Mailing Address22125 17th Ave Se Ste 101Bothell, WA 98021-7409 · (206) 858-1177
Phone(206) 858-1177
Fax(206) 913-2369
Sole ProprietorYes
Enumeration DateDecember 26, 2018
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
✔ NPI 1881166247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61155059
22125 17TH AVE SE STE 101, Bothell, WA 98021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alida Johnson Ma, Lmhc 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 January 30, 2025 through January 30, 2027.

Opt-Out Effective DateJanuary 30, 2025
Opt-Out In Effect ThroughJanuary 30, 2027Opt-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.

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.

SHELLIE GRAVITT LMFT
Marriage & Family Therapist
22125 17TH AVE SE STE 101
BOTHELL, WA 98021
Snohomish County (206) 858-1177
LINDSAY HILL
Counselor (Mental Health)
22125 17TH AVE SE STE 101
BOTHELL, WA 98021
Snohomish County (206) 858-1177

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 Alida Johnson's NPI number?

The NPI number for Alida Johnson is 1881166247. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Alida Johnson located?

Alida Johnson practices at 22125 17th Ave SE Ste 101, Bothell, WA 98021. The listed phone number is (206) 858-1177.

What is Alida Johnson's specialty?

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

Is Alida Johnson enrolled in Medicare?

No. Alida Johnson has opted out of Medicare through January 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alida Johnson was last updated on July 30, 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.