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

MS. Annjavetta D. Johnson, MED

Individual provider Mental Health Counselor · NPI 1538480157

MS. Annjavetta D. Johnson, MED is a Mental Health Counselor in Idabel, Oklahoma. Qualified in 2016, 10 years ago. Practices with State of Oklahoma, a 99-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2010
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

2000 E Lincoln Rd
Idabel, OK 74745-7353
Phone: (580) 286-6639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 411 S Central Ave, Idabel, OK 74745-6059 — (580) 286-5045

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1538480157
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESJune 3, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice State Of Oklahoma — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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