Brian Burke Johnson, PLMHP
NPI 1235796004ActiveIndividual· Psychologist· Boys Town, NE
Psychologist (PLMHP) with Blue Ridge Psychological Services, LLC, practicing in Boys Town, Nebraska. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1235796004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PLMHP |
| Sole proprietor | No |
| NPI issued | May 28, 2019 |
| Last updated in NPPES | Sep 16, 2021 |
| Certified by provider | Sep 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY004540 | GA |
| Counselor | 101Y00000X | 11864 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (GA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Blue Ridge Psychological Services, LLCBlue Ridge, GA · 8 clinicians
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