TABITHA JOHNSON – Marriage & Family Therapist, NPI 1285924936

TABITHA JOHNSON is a healthcare provider. based in Las vegas, Nevada. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 01214 (NV). The NPI Number for TABITHA JOHNSON is 1285924936

Main info

Female
17 Years Of Experience
Name
TABITHA JOHNSON
NPI
1285924936
Phone
(702) 279-8200
Address
8565 S EASTERN AVE
Enumeration Date
14 April 2011
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
9234536368
Group Practice PAC ID
3375542939
Professional Enrollment ID
I20240206002589
Address ID
NV891072936LA280XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

228 MARRIAGE AND FAMILY THERAPIST in NV

Provider Addresses for TABITHA JOHNSON

  • 8565 S EASTERN AVE

    172

    LAS VEGAS, NV 891232808

    Phone: (702) 279-8200

    Mailing address matches the actual address.

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: 2024-02-06

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
I20240206002589IMarriage And Family TherapistNVTBD

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 89123)

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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: 3375542939View full group profile
NameSpecialtyState
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Marriage And Family TherapistNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Internal MedicineNV
Family PracticeCO
Nurse PractitionerNV

Reviews

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Frequently asked questions

What federal number belongs to TABITHA JOHNSON?
The federal identifier for TABITHA JOHNSON is NPI 1285924936.
Is TABITHA JOHNSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TABITHA JOHNSON?
The page reflects Marriage & Family Therapist for TABITHA JOHNSON. Clinical services aligned with this taxonomy classification.
What location shows for TABITHA JOHNSON?
We surface Las Vegas, Nevada for TABITHA JOHNSON based on available NPPES addresses.
Is TABITHA JOHNSON a real provider?
This page reflects official NPPES data for NPI 1285924936. Always confirm identity and privileges with the practice and licensing boards.

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