GREG WILLIAM JOHNSON – Professional Counselor, NPI 1154416485

GREG WILLIAM JOHNSON is a healthcare provider. based in Frederick, Maryland. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LC1204 (MD). The NPI Number for GREG WILLIAM JOHNSON is 1154416485

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
GREG WILLIAM JOHNSON
NPI
1154416485
Phone
(301) 733-0330
Address
5301 Buckeystown Pike
Enumeration Date
3 October 2006
Last Update Date
19 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3017330330
Graduation Year
1985 (41 years ago)
PAC ID
8426493669
Group Practice PAC ID
5991055022
Professional Enrollment ID
I20240228000750
Address ID
MD217033303FR4540XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,236 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for GREG WILLIAM JOHNSON

  • 5301 Buckeystown Pike

    Suite 170

    Frederick, MD 217048370

    Phone: (301) 733-0330

    Fax: (301) 733-4038

    Type: Location

  • Brook Lane, 13121, Brook Lane, Bowmans Mill, Hagerstown, Washington County, Maryland, 21742, United States

    HAGERSTOWN, MD 217421514

    Phone: (301) 733-0330

    Fax: (301) 733-4038

    Type: Mailing

  • 5301, Buckeystown Pike, Ballenger Creek, Frederick County, Maryland, 21704, United States

    FREDERICK, MD 217048370

    Phone: (301) 733-0330

    Fax: (301) 733-4038

    Type: Location

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: 2024-02-28

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
I20240228000750IMental Health CounselorMDTBD

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 21704)

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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: 5991055022View full group profile
NameSpecialtyState
P S Y C H I A T R YMD
-MD
Mental Health CounselorMD
-NY
Clinical Social WorkerMD
Clinical Social WorkerMD
Mental Health CounselorMD
Nurse PractitionerCO
Clinical Social WorkerMD
Mental Health CounselorMD

Reviews

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Frequently asked questions

Where can patients find GREG WILLIAM JOHNSON's NPI?
You can confirm GREG WILLIAM JOHNSON with NPI 1154416485; it appears in the national provider directory.
Is GREG WILLIAM JOHNSON's NPI currently valid?
The extract we use shows GREG WILLIAM JOHNSON as active.
Does GREG WILLIAM JOHNSON list a primary specialty?
If you are matching referrals, note Professional Counselor for GREG WILLIAM JOHNSON. Clinical services aligned with this taxonomy classification.
Where is GREG WILLIAM JOHNSON's primary listing?
We display Frederick, Maryland because that is what the record indicates for GREG WILLIAM JOHNSON.
Is GREG WILLIAM JOHNSON a real provider?
This page reflects official NPPES data for NPI 1154416485. Always confirm identity and privileges with the practice and licensing boards.

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