Breanna Johnson, LPC
NPI 1780363192ActiveIndividual· Counselor, Professional· Raymore, MO
Counselor, Professional (LPC) in Raymore, Missouri, licensed in MO, KS and IL, with an NPI issued in July 2023. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780363192 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jul 13, 2023 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2026043149 | MO |
| Counselor, Professional | 101YP2500X | 05516 | KS |
| Counselor, Professional | 101YP2500X | 178023392 | IL |
| Counselor, Professional | 101YP2500X | 178033272 | IL |
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 (MO) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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