Theresa Johnson, LPC
NPI 1023805793ActiveIndividual· Counselor, Professional· Wilkes Barre, PA
Counselor, Professional (LPC) with Children's Service Center of Wyoming Valley Inc, practicing in Wilkes Barre, Pennsylvania. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1023805793 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Apr 24, 2025 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Aug 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | PC018847 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (PA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Children's Service Center of Wyoming Valley IncWilkes Barre, PA · 32 clinicians
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