Individual provider Active NPI

Deborah J. Johnson, MSSA, LISW-S

  • Mental Health Counselor
  • Euclid, OH
National Provider Identifier
1326250986
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0007826 Issued in OH
Practice address
26250 Euclid Ave Ste 527
Euclid, OH 44132
Phone
(440) 233-7232
Fax
(440) 233-9070
NPI assigned
May 4, 2007
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I0007826 OH Primary

Addresses

Primary practice location

26250 Euclid Ave Ste 527
Euclid, OH 44132

Mailing address

19710 Upper Terrace Dr
Euclid, OH 44117-2231
Phone (216) 912-8748

Other names 1

  • Deborah J. Johnson, Lisw-S, LLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000420 OH Practitioner - Clinical Social Worker 6204078355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians
Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

16888 Harvard Ave
Cleveland, OH 44128-2208
Phone (216) 303-6819

5555 Mayfield Rd
FL 2
Lyndhurst, OH 44124-2939
Phone (216) 839-2273

6410 Broadway Ave
Cleveland, OH 44105-1253
Phone (216) 303-7925

PO Box
Suite 24242
Cleveland, OH 44124-0242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0007826OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC CurrentSince May 24, 2023 Accepting new patients
Deborah J. Johnson Lisw-S, LLC Past Accepting new patients
Highland Wellness Center Inc. Past Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

16888 Harvard Ave
Cleveland, OH 44128
Phone (216) 682-7703

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1326250986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 UPPER TERRACE DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172231",
            "telephone_number": "216-912-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE STE 527",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "440-233-7232",
            "fax_number": "440-233-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MSSA, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "JOHNSON, LISW-S, LLC",
            "middle_name": "J.",
            "credential": "LISW-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.