Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Johnson

Individual provider Mental Health Counselor · NPI 1386315059

Mary Johnson is a Mental Health Counselor in Bronx, New York. Qualified in 2017, 9 years ago. Practices with Senior Care Therapy LCSW of New York PLLC, a 60-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2021
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Practice location Address checks out

1240 Walton Ave Apt 205
Bronx, NY 10452-8004
Phone: (646) 899-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1386315059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Senior Care Therapy Lcsw Of New York Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bronx