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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid35773561CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffery Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Haven Behavioral Services Of Albuquerque, LLC
4.1 mi
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
Albuquerque, NM 87108
  • Reassigned Medicare billing, New Mexico enrollment
  • 12 clinicians in this Medicare group
NPI 1093079303 (615) 393-8826

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ALVILLAR
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
LYRIC LAWSON-PARKS
Social Worker (Clinical)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
FELISHA LEYBA
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
KAI JIN
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
BERNADETTE CORRREA
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 342-5489
DARLENE SHIRLEY SCHUBERT B.A.
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
MS. MINDA JANE STILLINGS LPC
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
SANTANA MARCON
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 342-5489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jeffery Johnson located?

Jeffery Johnson practices at 707 Broadway Blvd NE, Albuquerque, NM 87102. The listed phone number is (505) 382-9169.

What is Jeffery Johnson's specialty?

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

Is Jeffery Johnson enrolled in Medicare?

Yes. Jeffery Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffery Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Johnson reassigns Medicare benefits to Haven Behavioral Services Of Albuquerque, LLC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffery Johnson was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.