DR. TERESA L JOHNSON PH.D.
NPI 1750631057
Psychologist - Counseling in Old Fort, NC
NPI Status: Active since September 13, 2012
Contact Information
513 SILVERS WELCH RD
OLD FORT, NC
ZIP 28762
Phone: (603) 865-1934
Fax: (855) 899-6197
- Individual
- Female
- Psychologist
- Counseling
- PECOS Enrolled
- Opted-Out Medicare
About TERESA JOHNSON
This page provides the complete NPI Profile along with additional information for Teresa Johnson, a provider established in Old Fort, North Carolina with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1750631057 assigned on September 2012. The practitioner's primary taxonomy code is 103TC1900X with license number 4778 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1750631057
- Provider Name
- DR. TERESA L JOHNSON PH.D.
- Other Name
- TERESA L JOHNSON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 513 SILVERS WELCH RD OLD FORT, NC 28762
- Location Phone
- (603) 865-1934
- Location Fax
- (855) 899-6197
- Mailing Address
- PO BOX 1247 BLACK MOUNTAIN, NC 28711
- Mailing Phone
- (603) 865-1934
- Mailing Fax
- (855) 899-6197
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2012
- Last Update Date
- 11-13-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Teresa Johnson opted out of Medicare effective on 03-22-2016 until 03-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4778
- License State
- NC
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Medicare Participation & PECOS Enrollment Status
Teresa Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-22-2016
Opt-Out End Date: 03-22-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 3 | 1 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 3 | 2 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 3 + 2 + 0 + 1 + 0 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1750631057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750631057, enumerated in the NPI registry as an "individual" on September 13, 2012
The provider is located at 513 Silvers Welch Rd Old Fort, Nc 28762 and the phone number is (603) 865-1934
The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on March 22, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 22, 2026.
This NPI record was last updated on September 13, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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