Olivia Johnson, LPCC in Coon Rapids, MN - Medicare Counselor Provider

Olivia Johnson, LPCC is a medicare enrolled "Counselor - Professional" provider in Coon Rapids, Minnesota. Her current practice location is 9120 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 767-7222.

Olivia Johnson is licensed to practice in Minnesota (license number CC03739) 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 1134817679.

Contact Information

	Olivia Johnson, LPCC
	9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845
	(612) 767-7222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia Johnson
Gender	Female
Speciality	Counselor - Professional
Location	9120 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134817679
Provider Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0042661829
Enrollment ID: I20240105001005

Medical Identifiers

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

Identifier	Type	State	Issuer
1134817679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC03739 (Minnesota)	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. Olivia Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Olivia 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
Olivia Johnson, LPCC 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 Ph: (612) 767-7222	Olivia Johnson, LPCC 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 Ph: (612) 767-7222

Reviews and Comments

Counselor in Coon Rapids, MN

Abigail Fletcher, Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350
Mrs. Nikisha Lynnette Simmons-maclin, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448 Phone: 612-636-9677
Adam Palowski, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10077 Dogwood St Nw, Coon Rapids, MN 55448 Phone: 612-676-1604
Charles Lochner, MA Counselor Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912
Ms. Kristal Ficzeri, MA Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350
Calsi Gilbertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350
Hong Fa Thao, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-767-7222

Olivia Johnson, LPCC - Medicare Counselor in Coon Rapids, MN