Individual provider Active NPI

Brent Christian Johnson, MA

  • Counselor
  • Lancaster, PA
National Provider Identifier
1821773383
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1813 Olde Homestead LN # 105
Lancaster, PA 17601-5837
Phone
(215) 538-3488
Fax
(215) 538-8692
NPI assigned
Jun 21, 2023
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Marriage & Family Therapist 106H00000X PC020061 PA
Mental Health Counselor 101YM0800X PC020061 PA

Addresses

Primary practice location

1813 Olde Homestead LN # 105
Lancaster, PA 17601-5837

Mailing address

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 1

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 2

161 N Main St Ste 14B
Dublin, PA 18917-1302
Phone (215) 538-3488

Other practice location 3

4321 Easton Ave
Bethlehem, PA 18020-1431
Phone (215) 538-3488

Other practice location 4

960 Century Dr
Mechanicsburg, PA 17055-4530
Phone (717) 795-0330

Other practice location 5

361 S 11th St
Quakertown, PA 18951-1409
Phone (215) 538-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260323000863 PA Practitioner - Mental Health Counselor 0749764371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Rehabilitation LLCGroup PAC ID 8325403041, 24 clinicians

Practice addresses (Care Compare)

1813 Olde Homestead LN
Lancaster, PA 17601-5837
Phone (215) 538-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC020061PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Rehabilitation LLC CurrentSince Apr 1, 2023 Accepting new patients
Success Rehabilitation, Inc. Past Accepting new patients
Acadia Acquisition Inc PastSince Jul 9, 2014 Accepting new patients

Locations

4321 Easton Ave
Bethlehem, PA 18020
Phone (215) 538-3488

161 N Main St
Ste 14B
Dublin, PA 18917
Phone (215) 538-3488

1813 Olde Homestead Ln
Lancaster, PA 17601
Phone (215) 538-3488

1813 Olde Homestead Ln
#105
Lancaster, PA 17601
Phone (215) 538-3488

361 S 11th St
Quakertown, PA 18951
Phone (215) 536-8540

5666 Clymer Rd
Quakertown, PA 18951
Phone (215) 538-3488

Organizations & group practices 3

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1821773383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLYMER RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 OLDE HOMESTEAD LN # 105",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015837",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 Clymer Rd",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189513264",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 N Main St Ste 14B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "PA",
            "postal_code": "189171302",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180201431",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Century Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554530",
            "country_code": "US",
            "telephone_number": "717-795-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511409",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENT",
        "middle_name": "CHRISTIAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PC020061",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC020061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.