BRITTANY ELISE JOHNSON – Mental Health Counselor, NPI 1063203636

BRITTANY ELISE JOHNSON is a healthcare provider. based in Summerfield, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH23111 (FL). The NPI Number for BRITTANY ELISE JOHNSON is 1063203636

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRITTANY ELISE JOHNSON
NPI
1063203636
Phone
(405) 922-8735
Address
4050 SE 145TH ST
Enumeration Date
14 May 2025
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068235250
Graduation Year
2019 (7 years ago)
PAC ID
3779096599
Group Practice PAC ID
8820406093
Professional Enrollment ID
I20250703000421
Address ID
FL331753530MI11750STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for BRITTANY ELISE JOHNSON

  • 4050 SE 145TH ST

    SUMMERFIELD, FL 344919114

    Phone: (405) 922-8735

    Type: Location

  • PO BOX 1345

    SUMMERFIELD, FL 344921345

    Phone: (405) 922-8735

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250703000421IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34491)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820406093View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorTN
Mental Health CounselorFL
Clinical PsychologistPR
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

What is the standard ID for BRITTANY ELISE JOHNSON in the U.S.?
In the U.S., BRITTANY ELISE JOHNSON is identified by NPI 1063203636.
Is BRITTANY ELISE JOHNSON currently accepting referrals based on NPI status?
Registry metadata lists BRITTANY ELISE JOHNSON as active.
What services align with BRITTANY ELISE JOHNSON's listing?
BRITTANY ELISE JOHNSON's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to BRITTANY ELISE JOHNSON?
The directory associates BRITTANY ELISE JOHNSON with Summerfield, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for BRITTANY ELISE JOHNSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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