Katrina Noble Johnson, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Blue Ash, Ohio. Her current practice location is
10921 Reed Hartman Hwy Ste 133, Blue Ash, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 984-9838.
Katrina Noble Johnson is licensed to practice in Ohio (license number I.2203617) 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 1952765786.
Healthcare Provider's Profile
Full Name | Katrina Noble Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10921 Reed Hartman Hwy Ste 133, Blue Ash, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952765786
- Provider Enumeration Date: 04/07/2016
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335556505
- Enrollment ID: I20210406001281
Medical Identifiers
Medical identifiers for Katrina Noble Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952765786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 975842 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.2203617 (Ohio) | 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. Katrina Noble Johnson allows following entities to bill medicare on her behalf.
Entity Name | Counseling Source Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140 |
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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. Katrina Noble 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 |
Katrina Noble Johnson, LISW, LICDC 3624 Zinsle Ave, Cincinnati, OH 45213-1861 Ph: (513) 834-8148 | Katrina Noble Johnson, LISW, LICDC 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851 Ph: (513) 984-9838 |
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