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JORDAN LEE JOHNSON MA, LPC, LPCC
NPI 1023346012
Counselor - Professional in Stillwater, MN

Active since December 02, 2009PECOS Enrolled
6303 OSGOOD AVE N, STILLWATER, MN 55082(651) 383-4800(651) 383-4801 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jordan Lee Johnson Ma, Lpc, Lpcc NPPES

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

JORDAN LEE JOHNSON MA, LPC, LPCC (NPI 1023346012) is an individual professional provider in Stillwater, Minnesota, licensed in Minnesota (CC00629) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023346012
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN LEE JOHNSONCredential: MA, LPC, LPCC
Location Address6303 OSGOOD AVE NStillwater, MN 55082-6101
Mailing Address6303 Osgood Ave NStillwater, MN 55082-6101 · (651) 383-4800 · Fax (651) 383-4801
Phone(651) 383-4800
Fax(651) 383-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 2, 2009
Last NPPES UpdateOctober 3, 2013
✔ NPI 1023346012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · CC00629✔ Licensed in WI · 4851-125
6303 OSGOOD AVE N, Stillwater, MN 55082
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Other Identifiers 2

Medicaid1023346012WI
Medicaid1023346012MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Lee Johnson Ma, Lpc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264882588
PECOS Enrollment IDI20260730004398
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 Jordan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Talkspace Provider Network PA
997 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Minnesota, Virginia and Wisconsin enrollments
  • 15 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206

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 5

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

ASHLEY BUSHMAN
Counselor (Mental Health)
6303 OSGOOD AVE N
STILLWATER, MN 55082
Washington County (651) 383-4800
MATTHEW MCCOY
Counselor (Mental Health)
6303 OSGOOD AVE N
STILLWATER, MN 55082
Washington County (651) 383-4800
FREDERICK J HOCHALTER OD LTD
Eyewear Supplier
6303 OSGOOD AVE N
STILLWATER, MN 55082
Washington County (651) 439-4265
DR. ROBERT CRAIG HOCHHALTER OD
Optometrist
6303 OSGOOD AVE N
STILLWATER, MN 55082
Washington County (651) 439-4265
DANIEL WAYNE SLETTEN D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
6303 OSGOOD AVE N, SUITE 205
STILLWATER, MN 55082
Washington County (651) 439-3350

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 Jordan Johnson's NPI number?

The NPI number for Jordan Johnson is 1023346012. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Jordan Johnson located?

Jordan Johnson practices at 6303 Osgood Ave N, Stillwater, MN 55082. The listed phone number is (651) 383-4800.

What is Jordan Johnson's specialty?

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

Is Jordan Johnson enrolled in Medicare?

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

Which organization bills Medicare for Jordan Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Johnson reassigns Medicare benefits to Talkspace Provider Network PA (New York, NY). 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 Jordan Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Oscar Health and UnitedHealthcare list Jordan Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Johnson was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.