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JENNA MICHELLE JOHNSON-CLARK LPCC
NPI 1083401517
Counselor - Mental Health in Saint Paul, MN

Active since April 21, 2025PECOS Enrolled
1205 GRAND AVE, SAINT PAUL, MN 55105(317) 607-2121 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jenna Michelle Johnson-clark Lpcc NPPES

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

JENNA MICHELLE JOHNSON-CLARK LPCC (NPI 1083401517) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (3313) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083401517
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNA MICHELLE JOHNSON-CLARKCredential: LPCC
Location Address1205 GRAND AVESaint Paul, MN 55105-2634
Mailing Address1492 Hazel St NSaint Paul, MN 55119-4227 · (317) 607-2121
Phone(317) 607-2121
Sole ProprietorNo
Enumeration DateApril 21, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1083401517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3313
1205 GRAND AVE, Saint Paul, MN 55105
Open in Google Maps ↗

Other Names 1

Former Name (1)Jenna Clark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Michelle Johnson-clark 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 Jenna Johnson-clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Invigorate Life Counseling, PLLC
0.1 mi
Mental Health (Including Community Mental Health Center)
1154 GRAND AVE, SUITE 2
Saint Paul, MN 55105
  • Reassigned Medicare billing, Minnesota enrollment
  • 12 clinicians in this Medicare group
NPI 1508107541 (651) 983-3879

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.

CARSON KUBALL
Marriage & Family Therapist
1205 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (612) 619-7611
MARKELA LEVETTE BANKS MA LMFT
Marriage & Family Therapist
1205 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (612) 619-7611
CAMRI L NASETH LADC
Counselor (Addiction (Substance Use Disorder))
1205 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (651) 300-7942
DEVIN RAE HENDRICKSON LICSW
Social Worker (Clinical)
1205 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (612) 520-9090
KAJA ELAN FOAT LMFT, ATR
Marriage & Family Therapist
1205 GRAND AVE
SAINT PAUL, MN 55105
Ramsey County (612) 619-7611

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 Jenna Johnson-clark's NPI number?

The NPI number for Jenna Johnson-clark is 1083401517. It was assigned to this individual provider in the NPPES registry on April 21, 2025. The provider is also known as Jenna Clark.

Where is Jenna Johnson-clark located?

Jenna Johnson-clark practices at 1205 Grand Ave, Saint Paul, MN 55105. The listed phone number is (317) 607-2121.

What is Jenna Johnson-clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jenna Johnson-clark enrolled in Medicare?

Yes. Jenna Johnson-clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Johnson-clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Johnson-clark reassigns Medicare benefits to Invigorate Life Counseling, PLLC (Saint Paul, MN). 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 Jenna Johnson-clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Johnson-clark accept?

Health plans from HealthPartners list Jenna Johnson-clark 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 Jenna Johnson-clark was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.