Individual provider Active NPI

Lyndsie Johnson, L.P.C

  • Professional Counselor
  • Bridgeton, NJ
National Provider Identifier
1861858110
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00601000 Issued in NJ
Practice address
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone
(856) 575-4196
Fax
(856) 575-4199
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00219400 NJ
Professional Counselor 101YP2500X 37PC00601000 NJ Primary

Addresses

Primary practice location

333 Irving Ave
Bridgeton, NJ 08302-2123

Mailing address

333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240906001601 NJ Practitioner - Mental Health Counselor 0446790380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00219400NJMDMental Health Counselor
37PC00601000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Lifebulb LLC Mental Health CurrentSince Jun 23, 2024 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1861858110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022123",
            "telephone_number": "856-575-4196",
            "fax_number": "856-575-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022123",
            "telephone_number": "856-575-4196",
            "fax_number": "856-575-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNDSIE",
        "credential": "L.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00219400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00601000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.