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DR. ARCHIE JOHNSON PHD
NPI 1952774812
Psychoanalyst in Myrtle Beach, SC

Active since November 01, 2015Opted out of Medicare · through Aug 8, 2027
1107 48TH AVE N, MYRTLE BEACH, SC 29577(843) 459-8154(843) 347-9596 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Archie Johnson Phd NPPES

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

DR. ARCHIE JOHNSON PHD (NPI 1952774812) is an individual psychoanalyst provider in Myrtle Beach, South Carolina, licensed in South Carolina (2790) and active in the NPI registry since November 2015. He has opted out of Medicare through August 8, 2027.

NPPES Registry Identity

NPI1952774812
Entity TypeIndividualMale
Primary Taxonomy102L00000X
Provider Legal NameDR. ARCHIE JOHNSONCredential: PHD
Location Address1107 48TH AVE NMyrtle Beach, SC 29577-5443
Mailing Address1107 48th Ave N, Pkwy Ofc Plaza, Suit 310 DMyrtle Beach, SC 29577-5443 · (843) 459-8154 · Fax (843) 347-9596
Phone(843) 459-8154
Fax(843) 347-9596
Sole ProprietorYes
Enumeration DateNovember 1, 2015
Last NPPES UpdateNovember 6, 2015
✔ NPI 1952774812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychoanalystBehavioral Health & Social Service Providers
Taxonomy Code102L00000X
License✔ Licensed in SC · 2790
Definition
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
1107 48TH AVE N, Myrtle Beach, SC 29577
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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

Dr. Archie Johnson Phd 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 August 8, 2025 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2025
Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

CAROL K RUSSO LMFT
Marriage & Family Therapist
1107 48TH AVE N, SUITE 111-E
MYRTLE BEACH, SC 29577
Horry County (843) 254-9447
KLF COUNSELING & CONSULTING, PA
Clinic/Center (Mental Health (Including Community Mental Health Center))
1107 48TH AVE N
MYRTLE BEACH, SC 29577
Horry County (843) 240-9446

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 Archie Johnson's NPI number?

The NPI number for Archie Johnson is 1952774812. It was assigned to this individual provider in the NPPES registry on November 1, 2015.

Where is Archie Johnson located?

Archie Johnson practices at 1107 48th Ave N, Myrtle Beach, SC 29577. The listed phone number is (843) 459-8154.

What is Archie Johnson's specialty?

The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.

Is Archie Johnson enrolled in Medicare?

No. Archie Johnson has opted out of Medicare through August 8, 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 Archie Johnson was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.