ACACIA LYNETTE JOHNSON LPC
NPI 1912149618
Counselor - Professional in Russellville, AR

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802(479) 222-0268 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Acacia Lynette Johnson Lpc NPPES

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

ACACIA LYNETTE JOHNSON LPC (NPI 1912149618) is an individual professional provider in Russellville, Arkansas, licensed in Arkansas (P1202014) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912149618
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameACACIA LYNETTE JOHNSONCredential: LPC
Location Address104 LOCK AND DAM RDRussellville, AR 72802-9725
Mailing Address104 Lock And Dam RdRussellville, AR 72802-9725 · (479) 747-5222
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1912149618 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 AR · P1202014
104 LOCK AND DAM RD, Russellville, AR 72802

Other Identifiers 2

Medicaid1912149618AR
Medicaid175189795AR

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 and accepts Medicare assignment

Acacia Lynette Johnson Lpc 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 ID8022477041
PECOS Enrollment IDI20240129002042
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 16

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

Counselor
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Community/Behavioral Health
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Case Manager/Care Coordinator
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Case Manager/Care Coordinator
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Counselor
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802
Social Worker
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802

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 Acacia Johnson's NPI number?

The NPI number for Acacia Johnson is 1912149618. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Acacia Johnson located?

Acacia Johnson practices at 104 Lock And Dam Rd, Russellville, AR 72802. The listed phone number is (479) 222-0268.

What is Acacia Johnson's specialty?

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

Is Acacia Johnson enrolled in Medicare?

Yes. Acacia 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 Acacia Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Acacia 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 Acacia Johnson was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.