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LISA MICHELLE JOHNSON LCSWA
NPI 1982134698
Social Worker - Clinical in Statesville, NC

Active since June 14, 2017PECOS Enrolled
518 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 873-1114 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017, Jun 14, 2017 (3 updates tracked since 2017).

About Lisa Michelle Johnson Lcswa NPPES

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

LISA MICHELLE JOHNSON LCSWA (NPI 1982134698) is an individual clinical provider in Statesville, North Carolina, licensed in North Carolina (P010480) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1982134698
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MICHELLE JOHNSONCredential: LCSWA
Location Address518 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391
Mailing Address284 Executive Park Drive, Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 873-1114
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1982134698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P010480
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
518 SIGNAL HILL DRIVE EXT, Statesville, NC 28625
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Michelle Johnson Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961889258
PECOS Enrollment IDI20220505002010
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eventus Wholehealth, PLLC
31 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
903 services46 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

GARY LYNN MARSHALL LCASA
Counselor (Addiction (Substance Use Disorder))
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
DAYMARK RECOVERY SERVICES INC
Family Medicine
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
DAVID ALEXANDER JAMSKY POLLACK MACMHC, LPCA, NCC
Counselor (Professional)
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
MR. JAMES R DOBSON CPSS-V CADC
Counselor (Addiction (Substance Use Disorder))
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (336) 413-2711
DAYMARK RECOVERY SERVICES INC
Community/Behavioral Health
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114

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 Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1982134698. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Lisa Johnson located?

Lisa Johnson practices at 518 Signal Hill Drive Ext, Statesville, NC 28625. The listed phone number is (704) 873-1114.

What is Lisa Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Johnson enrolled in Medicare?

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

Which organization bills Medicare for Lisa Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Johnson reassigns Medicare benefits to Eventus Wholehealth, PLLC (Concord, NC). 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 Lisa Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Johnson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lisa 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 Lisa Johnson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.