Nicole Johnson, LPC,LMFT in Kenosha, WI - Medicare Marriage & Family Therapist Provider

Nicole Johnson, LPC,LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Kenosha, Wisconsin. Her current practice location is 6121 Green Bay Rd, Suite 230, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 654-8366.

Nicole Johnson is licensed to practice in Wisconsin (license number 635-124) 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 1104901263.

Contact Information

	Nicole Johnson, LPC,LMFT
	6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926
	(262) 654-8366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Johnson
Gender	Female
Speciality	Marriage & Family Therapist
Location	6121 Green Bay Rd, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104901263
Provider Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6204273469
Enrollment ID: I20240322003295

Medical Identifiers

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

Identifier	Type	State	Issuer
1104901263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2882-125 (Wisconsin)	Primary
106H00000X	Marriage & Family Therapist	635-124 (Wisconsin)	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. Nicole Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fleming Psychological Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366526097 PECOS PAC ID: 7810933462 Enrollment ID: O20050705000738

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. Nicole 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
Nicole Johnson, LPC,LMFT 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 Ph: (262) 654-8366	Nicole Johnson, LPC,LMFT 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 Ph: (262) 654-8366

Reviews and Comments

Marriage & Family Therapist in Kenosha, WI

Ms. Barbara Sabrina Andrews, LMFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4102 Washington Rd Apt 210, Kenosha, WI 53144 Phone: 470-419-0022
Mr. Daniel M. Willman, MS, LMFT, SAC-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4109 67th St, Kenosha, WI 53142 Phone: 262-652-9830
Emily Elizabeth Prahlow, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-652-5522
Brynna Rae Fischer, LMFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406
Jeremy Kevin Strobel, MARRIAGE AND FAMILY Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 Fax: 262-652-2408

Nicole Johnson, LPC,LMFT - Medicare Couples Therapy in Kenosha, WI