Mr Kai Mark Johnson, LMHC, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Joint Base Lewis Mccord, Washington. His current practice location is
2008 B North 3rd St, Rm 313, Joint Base Lewis Mccord, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 967-1410.
Mr Kai Mark Johnson is licensed to practice in Florida (license number MH 8210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316038805.
Healthcare Provider's Profile
| Full Name | Mr Kai Mark Johnson |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 2008 B North 3rd St, Joint Base Lewis Mccord, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316038805
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 01/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 1951746916
- Enrollment ID: I20240229001012
Medical Identifiers
Medical identifiers for Mr Kai Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316038805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP 60121912 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 321 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH 8210 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | LH 60125435 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | 60270424 (Washington) | Secondary |
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. Mr Kai Mark Johnson allows following entities to bill medicare on his behalf.
| Entity Name | The Brain Spa Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063907517
PECOS PAC ID: 1557616182
Enrollment ID: O20190723000749 |
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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. Mr Kai Mark 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 |
|---|
Mr Kai Mark Johnson, LMHC, LMFT
4123 Burnham Dr,
Gig Harbor, WA 98332-1054
Ph: (808) 203-8463 | Mr Kai Mark Johnson, LMHC, LMFT
2008 B North 3rd St, Rm 313,
Joint Base Lewis Mccord, WA 98433
Ph: (253) 967-1410 |
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