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JACK LEE JOHNSON II
NPI 1093284382
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since November 16, 2018
1680 NORTH FAIR OAKS, PASADENA, CA 91104(210) 241-0481 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Lee Johnson Ii NPPES

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

JACK LEE JOHNSON II (NPI 1093284382) is an individual addiction (substance use disorder) provider in Pasadena, California and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1093284382
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK LEE JOHNSON II
Location Address1680 NORTH FAIR OAKSPasadena, CA 91104
Mailing Address1680 N Fair Oaks AvePasadena, CA 91103-1642 · (626) 798-0884
Phone(210) 241-0481
Sole ProprietorNo
Enumeration DateNovember 16, 2018
✔ NPI 1093284382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1680 NORTH FAIR OAKS, Pasadena, CA 91104
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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 Jack Johnson's NPI number?

The NPI number for Jack Johnson is 1093284382. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Where is Jack Johnson located?

Jack Johnson practices at 1680 North Fair Oaks, Pasadena, CA 91104. The listed phone number is (210) 241-0481.

What is Jack Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Johnson was last updated on November 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.