CANDACE RAE JOHNSON LICSW, LADC
NPI 1912638552
Student in an Organized Health Care Education/Training Program in Saint Paul, MN
About Candace Rae Johnson Licsw, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDACE RAE JOHNSON LICSW, LADC (NPI 1912638552) is an individual student in an organized health care education/training program in Saint Paul, Minnesota, licensed in Minnesota (30874) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Candace Rae Johnson Licsw, Ladc 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.
Medicare Billing Reassignment
Medicare enrollment records show Candace Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55108
- Reassigned Medicare billing, Minnesota enrollment
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAINT PAUL, MN 55108
SAINT PAUL, MN 55108
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 Candace Johnson's NPI number?
The NPI number for Candace Johnson is 1912638552. It was assigned to this individual provider in the NPPES registry on June 23, 2022. The provider is also known as Candace Rae Bartheidel Ladc.
Where is Candace Johnson located?
Candace Johnson practices at 2230 Como Ave, Saint Paul, MN 55108. The listed phone number is (612) 730-9429.
What is Candace Johnson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Candace Johnson enrolled in Medicare?
Yes. Candace 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.
Which organization bills Medicare for Candace Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Johnson reassigns Medicare benefits to Emily Program P C (St Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candace Johnson accept?
Health plans from HealthPartners list Candace 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 Candace Johnson was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Candace Rae Johnson, LICSW, LADC · NPI 1912638552
Student in an Organized Health Care Education/Training Program provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1912638552 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 30874 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2230 COMO AVE, Saint Paul, MN 55108-1720
- **Phone:** (612) 730-9429
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Emily Program P C (NPI 1528165065, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912638552) · Data from the CMS NPPES public registry.