JENNIFER RAELYNN JOHNSON
NPI 1063943413
Counselor in San Jose, CA

Active since March 27, 2017
1401 PARKMOOR AVE, 290, SAN JOSE, CA 95126(408) 971-9822 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Raelynn Johnson NPPES

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

JENNIFER RAELYNN JOHNSON (NPI 1063943413) is an individual counselor in San Jose, California and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1063943413
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER RAELYNN JOHNSON
Location Address1401 PARKMOOR AVE, 290San Jose, CA 95126-3403
Mailing Address2657 Scottsdale DrSan Jose, CA 95148-2504 · (309) 740-8960
Sole ProprietorYes
Enumeration DateMarch 27, 2017
NPI 1063943413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1401 PARKMOOR AVE, San Jose, CA 95126

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.

Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126
Behavior Analyst
1401 PARKMOOR AVE
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126
Behavior Technician
1401 PARKMOOR AVE, SUITE 208
SAN JOSE, CA 95126

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 Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1063943413. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 1401 Parkmoor Ave 290, San Jose, CA 95126. The listed phone number is (408) 971-9822.

What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on March 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.