GRYPHON L JOHNSON – Professional Counselor, NPI 1982363453

GRYPHON L JOHNSON is a healthcare provider. based in Youngstown, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C.2103639-TRNE (OH). The NPI Number for GRYPHON L JOHNSON is 1982363453

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
GRYPHON L JOHNSON
NPI
1982363453
Phone
(330) 782-5664
Address
535 MARMION AVE
Enumeration Date
13 December 2021
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307825664
Graduation Year
2022 (4 years ago)
PAC ID
1759891302
Group Practice PAC ID
4587620513
Professional Enrollment ID
I20250611003386
Address ID
OH445022323YO535XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for GRYPHON L JOHNSON

  • 535 MARMION AVE

    YOUNGSTOWN, OH 445022323

    Phone: (330) 782-5664

    Fax: (330) 782-1614

    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: 2025-06-11

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
I20250611003386IMental 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 44502)

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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: 4587620513View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
-OH
P S Y C H I A T R YOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What federal number belongs to GRYPHON L JOHNSON?
The federal identifier for GRYPHON L JOHNSON is NPI 1982363453.
Does this profile mean GRYPHON L JOHNSON is currently active?
Yes — GRYPHON L JOHNSON appears active in the national provider directory.
What does GRYPHON L JOHNSON treat or focus on?
Patients typically see GRYPHON L JOHNSON under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Does GRYPHON L JOHNSON practice in Ohio?
You will see Youngstown, Ohio on file for GRYPHON L 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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