MICHAEL BRYAN JOHNSON (LPCC) – Professional Counselor, NPI 1679643407

MICHAEL BRYAN JOHNSON (LPCC) is a healthcare provider. based in Stow, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. E 0600303 (OH). The NPI Number for MICHAEL BRYAN JOHNSON (LPCC) is 1679643407

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BRYAN JOHNSON (LPCC)
NPI
1679643407
Phone
(330) 688-2414
Address
4466 DARROW RD
Enumeration Date
9 November 2006
Last Update Date
27 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
9830627082
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20250115002390
Address ID
OH443041619AK525XXSTXX400
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

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for MICHAEL BRYAN JOHNSON (LPCC)

  • 4466, Darrow Road, Stonebridge Crossing, Stow, Summit County, Ohio, 44224, United States

    SUITE 10

    STOW, OH 442241866

    Phone: (330) 688-2414

    Fax: (330) 319-6205

    Type: Location

  • 203, Crescent Drive, Firestone Park, Akron, Summit County, Ohio, 44301, United States

    AKRON, OH 443012062

    Phone: (330) 715-0865

    Fax: (330) 794-4262

    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: 2025-01-15

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
I20250115002390IMental Health CounselorOHTBD

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 44224)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL BRYAN JOHNSON (LPCC) in U.S. healthcare records?
The official identifier for MICHAEL BRYAN JOHNSON (LPCC) is NPI 1679643407.
Is MICHAEL BRYAN JOHNSON (LPCC) shown as active in public data?
Registry records indicate MICHAEL BRYAN JOHNSON (LPCC) maintains an active NPI.
What area of care is associated with MICHAEL BRYAN JOHNSON (LPCC)?
MICHAEL BRYAN JOHNSON (LPCC)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Is MICHAEL BRYAN JOHNSON (LPCC) located near Stow?
MICHAEL BRYAN JOHNSON (LPCC) currently maps to Stow, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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