Nikolaus Johnson LLC
NPI 1104703636 · Adult Mental Health Clinic/Center · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikolaus Johnson LLC is a Adult Mental Health Clinic/Center organization in Fort Worth, TX (NPI 1104703636).
Provider details
- NPI number
- 1104703636
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nikolaus Johnson, Owner(262) 751-7119
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Frequently asked questions
- What is Nikolaus Johnson LLC's NPI number?
- Nikolaus Johnson LLC's National Provider Identifier (NPI) is 1104703636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nikolaus Johnson LLC?
- Nikolaus Johnson LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nikolaus Johnson LLC located?
- Nikolaus Johnson LLC's practice location on file with NPPES is 1616 Wabash Ave, Fort Worth, TX 76107-6598.
- What is Nikolaus Johnson LLC's phone number?
- The practice phone number listed in the NPPES registry for Nikolaus Johnson LLC is (817) 953-5159.
- Does Nikolaus Johnson LLC accept Medicare?
- Nikolaus Johnson LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nikolaus Johnson LLC?
- The authorized official listed on Nikolaus Johnson LLC's NPPES record is Nikolaus Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nikolaus Johnson LLC's NPI active?
- Yes — Nikolaus Johnson LLC's NPI (1104703636) is active in the NPPES registry as of the last update on 2025-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.