MARY JEAN JOHNSON – Clinical Social Worker, NPI 1861793390

MARY JEAN JOHNSON is a healthcare provider. based in Worland, Wyoming. specializing in Clinical Social Worker. The NPI Number for MARY JEAN JOHNSON is 1861793390

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEAN JOHNSON
NPI
1861793390
Phone
(307) 347-6165
Address
401SOUTH 23RD ST.
Enumeration Date
15 November 2010
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073476165
Graduation Year
2013 (13 years ago)
PAC ID
1456644376
Group Practice PAC ID
3476659699
Professional Enrollment ID
I20160728002538
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for MARY JEAN JOHNSON

  • 401SOUTH 23RD ST.

    WORLAND, WY 824013725

    Phone: (307) 347-6165

    Fax: (307) 347-6166

    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: 2016-07-28

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
I20160728002538IClinical Social WorkerWYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour4114$0
90832Psychotherapy, 30 minutes3613$0
View full utilization report →

Insurance plans in this area (ZIP 82401)

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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: 3476659699View full group profile
NameSpecialtyState
-CO
Clinical PsychologistWY
-WY
Marriage And Family TherapistWY
Mental Health CounselorWY
Undefined Non Physician Type (Specify)WY
Mental Health CounselorWY
Mental Health CounselorWY
Undefined Non Physician Type (Specify)WY
Marriage And Family TherapistWY

Reviews

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Frequently asked questions

How do I look up MARY JEAN JOHNSON by NPI?
Use NPI 1861793390 when you need to reference MARY JEAN JOHNSON in forms, claims, or directories.
Is MARY JEAN JOHNSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARY JEAN JOHNSON work in?
You can think of MARY JEAN JOHNSON as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place MARY JEAN JOHNSON?
The snapshot lists Worland, Wyoming for MARY JEAN JOHNSON; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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