Acacia Lynette Johnson, LPC in Harrison, AR - Medicare Counselor Provider

Acacia Lynette Johnson, LPC is a medicare enrolled "Counselor - Professional" provider in Harrison, Arkansas. Her current practice location is 702 N Main St Ste B, Harrison, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 781-2230.

Acacia Lynette Johnson is licensed to practice in Arkansas (license number P1202014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912149618.

Contact Information

	Acacia Lynette Johnson, LPC
	702 N Main St Ste B, Harrison, AR 72601-2920
	(501) 781-2230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Acacia Lynette Johnson
Gender	Female
Speciality	Counselor - Professional
Location	702 N Main St Ste B, Harrison, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912149618
Provider Enumeration Date: 03/27/2009
Last Update Date: 07/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8022477041
Enrollment ID: I20240129002042

Medical Identifiers

Medical identifiers for Acacia Lynette Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912149618	NPI	-	NPPES
1912149618	Medicaid	AR
175189795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1202014 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Acacia Lynette Johnson allows following entities to bill medicare on her behalf.

Entity Name	Simple Soul Counseling Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164144812 PECOS PAC ID: 6305205329 Enrollment ID: O20231028000160

Entity Name	Capps Wellness Clinic And Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124744917 PECOS PAC ID: 9931644994 Enrollment ID: O20240715000853

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Acacia Lynette Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Acacia Lynette Johnson, LPC 8289 Redbud, Harrison, AR 72601-9304 Ph: (501) 278-6688	Acacia Lynette Johnson, LPC 702 N Main St Ste B, Harrison, AR 72601-2920 Ph: (501) 781-2230

Reviews and Comments

Counselor in Harrison, AR

Mr. Brandon L Martin I, LPC, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Main St, Harrison, AR 72601 Phone: 870-204-6016
Angela Dilan Timpani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Crandall Ave, Harrison, AR 72601 Phone: 870-204-7488 Fax: 870-204-5654
Melanie Bailey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 E Crandall Ave Ste B, Harrison, AR 72601 Phone: 870-741-8484 Fax: 870-741-4088
Laura Elizabeth Treat, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Main St, Harrison, AR 72601 Phone: 866-403-8476 Fax: 870-424-9061
Tessa Hastings, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 W Industrial Park Rd, Harrison, AR 72601 Phone: 870-741-2960 Fax: 870-741-2965
Mrs. Claire Ann Reed, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4494 Oalawn Estates Lane, Harrison, AR 72601 Phone: 870-715-9021
Laurel Nichole Gass, PLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 107 E Crandall Ave, Harrison, AR 72601 Phone: 870-741-8484

Acacia Lynette Johnson, LPC - Medicare Counselor in Harrison, AR