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

Individual provider Professional Counselor · NPI 1023805793

Theresa Johnson, LPC is a Mental Health Counselor in Wilkes Barre, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Children's Service Center of Wyoming Valley Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

335 S Franklin St
Wilkes Barre, PA 18702-3808
Phone: (570) 825-6425
Fax: (570) 762-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC018847 (PA)

Record details

NPI number1023805793
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Children'S Service Center Of Wyoming Valley Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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