CELOSIA JOHNSON – Counselor, NPI 1023765740

CELOSIA JOHNSON is a healthcare provider. based in Omaha, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 12677 (NE). The NPI Number for CELOSIA JOHNSON is 1023765740

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CELOSIA JOHNSON
NPI
1023765740
Phone
(918) 839-0798
Address
15022 WYCLIFFE DR APT 25
Enumeration Date
2 March 2022
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125272823
Graduation Year
2021 (5 years ago)
PAC ID
0941749196
Group Practice PAC ID
9234550419
Professional Enrollment ID
I20240831000292
Address ID
IA515341825GL304XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for CELOSIA JOHNSON

  • 15022 WYCLIFFE DR APT 25

    OMAHA, NE 681544314

    Phone: (918) 839-0798

    Type: Mailing

  • 207 S LOCUST ST

    GLENWOOD, IA 515341727

    Phone: (712) 527-2823

    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: 2024-08-31

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
I20240831000292IMental Health CounselorIATBD

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 68154)

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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: 9234550419View full group profile
NameSpecialtyState
Clinical Social WorkerNE
Nurse PractitionerIA
Mental Health CounselorIA
Nurse PractitionerNE
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorNE

Reviews

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Frequently asked questions

What federal number belongs to CELOSIA JOHNSON?
The federal identifier for CELOSIA JOHNSON is NPI 1023765740.
Is CELOSIA JOHNSON currently active in the NPI registry?
CMS-published data lists CELOSIA JOHNSON as an active registrant.
What does CELOSIA JOHNSON treat or focus on?
Patients typically see CELOSIA JOHNSON under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Does CELOSIA JOHNSON practice in Nebraska?
You will see Omaha, Nebraska on file for CELOSIA JOHNSON alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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