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EBONY JOHNSON LAC, LSW CFPS
NPI 1972217743
Counselor - Addiction (Substance Use Disorder) in Aurora, CO

Active since January 06, 2023PECOS Enrolled
26227 E 3RD AVE, AURORA, CO 80018(303) 915-7064 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Mar 2, 2026, Mar 21, 2025 and 2 more (5 updates tracked since 2023).

About Ebony Johnson Lac, Lsw Cfps NPPES

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

EBONY JOHNSON LAC, LSW CFPS (NPI 1972217743) is an individual addiction (substance use disorder) provider in Aurora, Colorado, licensed in Colorado (ACD.0002913) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972217743
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameEBONY JOHNSONCredential: LAC, LSW CFPS
Location Address26227 E 3RD AVEAurora, CO 80018-1768
Mailing Address26227 E 3rd AveAurora, CO 80018-1768 · (303) 915-7064
Phone(303) 915-7064
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2023
Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1972217743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002913
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LSW.0009926220 (CO), SWC.0000001982 (CO)
Also ListedPeer SpecialistTaxonomy 175T00000X
26227 E 3RD AVE, Aurora, CO 80018
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Johnson Lac, Lsw Cfps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072097351
PECOS Enrollment IDI20260324004455
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

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

THE BLACK LOTUS RECOVERY COLLECTIVE
Counselor (Addiction (Substance Use Disorder))
26227 E 3RD AVE
AURORA, CO 80018
Arapahoe County (303) 915-7064

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 Ebony Johnson's NPI number?

The NPI number for Ebony Johnson is 1972217743. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Ebony Johnson located?

Ebony Johnson practices at 26227 E 3rd Ave, Aurora, CO 80018. The listed phone number is (303) 915-7064.

What is Ebony Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Ebony Johnson enrolled in Medicare?

Yes. Ebony Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebony Johnson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.