NICHOLE ANN JOHNSTON
NPI 1093578445
Counselor - Addiction (Substance Use Disorder) in Jackson, OH

Q: What is Nichole Johnston's NPI number?

The NPI number for Nichole Johnston is 1093578445. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Q: What is Nichole Johnston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nichole Johnston was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 30, 2024

345 E MAIN ST STE C, JACKSON, OH 45640(740) 577-3186 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nichole Ann Johnston NPPES

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

NICHOLE ANN JOHNSTON (NPI 1093578445) is an individual addiction (substance use disorder) provider in Jackson, Ohio, licensed in Ohio (187178) and active in the NPI registry since January 2024. She is a graduate of Other (1989).

NPPES Registry Identity

NPI1093578445

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameNICHOLE ANN JOHNSTON

Location Address345 E MAIN ST STE CJackson, OH 45640-1784

Mailing Address138 Eastview DrJackson, OH 45640-2048 · (740) 418-6277

Phone(740) 577-3186

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1093578445 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

License✔ Licensed in OH · 187178

345 E MAIN ST STE C, Jackson, OH 45640

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Ann Johnston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789195660

PECOS Enrollment IDI20250617003454

Other Providers at the Same Location NPPES

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

ANCHORSTONE BEHAVIORAL HEALTH GROUP LLC

Clinic/Center

345 E MAIN ST STE C
JACKSON, OH 45640

Jackson County (732) 523-4057

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 Nichole Johnston's NPI number?

The NPI number for Nichole Johnston is 1093578445. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Nichole Johnston located?

Nichole Johnston practices at 345 E Main St Ste C, Jackson, OH 45640. The listed phone number is (740) 577-3186.

What is Nichole Johnston's specialty?

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

Is Nichole Johnston enrolled in Medicare?

Yes. Nichole Johnston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichole Johnston was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.