Mr Travis W Johnson Sr, MA, LPC in San Antonio, TX

Mr Travis W Johnson Sr, MA, LPC is a medicare enrolled "Counselor - Professional" provider in San Antonio, Texas. His current practice location is 4318 Woodcock Dr Ste 120, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 719-0237.

Mr Travis W Johnson Sr is licensed to practice in Texas (license number 78681) 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 1487323820.

Contact Information

	Mr Travis W Johnson Sr, MA, LPC
	4318 Woodcock Dr Ste 120, San Antonio, TX 78228-1315
	(210) 719-0237
	(210) 547-0256

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Travis W Johnson Sr
Gender	Male
Speciality	Counselor - Professional
Location	4318 Woodcock Dr Ste 120, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487323820
Provider Enumeration Date: 09/09/2021
Last Update Date: 07/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5799137394
Enrollment ID: I20240119001304

Medical Identifiers

Medical identifiers for Mr Travis W Johnson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487323820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	78681 (Texas)	Secondary
101YP1600X	Counselor - Pastoral	78681 (Texas)	Secondary
102L00000X	Psychoanalyst	78681 (Texas)	Secondary
101YP2500X	Counselor - Professional	78681 (Texas)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	78681 (Texas)	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 Travis W Johnson Sr allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Entity Name	Johnson Christian Counseling Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669166013 PECOS PAC ID: 4880046481 Enrollment ID: O20240119000442

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 Travis W Johnson Sr 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 Travis W Johnson Sr, MA, LPC 5118 Green Coral, San Antonio, TX 78223-4543 Ph: (210) 719-0237	Mr Travis W Johnson Sr, MA, LPC 4318 Woodcock Dr Ste 120, San Antonio, TX 78228-1315 Ph: (210) 719-0237

Reviews and Comments

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Kelly D Mitchell, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1024 Fax: 210-738-8025

Mr Travis W Johnson Sr, MA, LPC - Medicare Counselor in San Antonio, TX