JEFFERY J JOHNSON LPCC
NPI 1003946526
Counselor - Professional in Albuquerque, NM

Q: What is Jeffery Johnson's NPI number?

The NPI number for Jeffery Johnson is 1003946526. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Jeffery Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Johnson was last updated on May 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2007PECOS Enrolled

707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 382-9169(505) 342-5414 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2021, Jun 27, 2017 (2 updates tracked since 2017).

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About Jeffery J Johnson Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY J JOHNSON LPCC (NPI 1003946526) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0216531) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003946526

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJEFFERY J JOHNSONCredential: LPCC

Location Address707 BROADWAY BLVD NEAlbuquerque, NM 87102-2360

Mailing Address707 Broadway Blvd NeAlbuquerque, NM 87102-2360 · (505) 382-9169 · Fax (505) 342-5414

Phone(505) 382-9169

Fax(505) 342-5414

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateMay 14, 20212 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1003946526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NM · CCMH0216531

707 BROADWAY BLVD NE, Albuquerque, NM 87102

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Other Identifiers 1

Medicaid35773561CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffery J Johnson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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