JANE POLLOCK JOHNSON
NPI 1093854945
Marriage & Family Therapist in Otsego, MN

Q: What is Jane Johnson's NPI number?

The NPI number for Jane Johnson is 1093854945. It was assigned to this individual provider in the NPPES registry on February 6, 2007. The provider is also known as Jane Marie Pollock.

Q: What is Jane Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jane Johnson was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 06, 2007PECOS Enrolled

9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492(763) 746-3685 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jane Pollock Johnson NPPES

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

JANE POLLOCK JOHNSON (NPI 1093854945) is an individual marriage & family therapist in Otsego, Minnesota, licensed in Minnesota (3386) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Princeton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093854945

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJANE POLLOCK JOHNSON

Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168

Mailing Address13403 283rd AveZimmerman, MN 55398-9217

Phone(763) 746-9492

Fax(763) 746-3685

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 6, 2007

Last NPPES UpdateSeptember 11, 2019

✔ NPI 1093854945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3386

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

9245 QUANTRELLE AVE NE, Otsego, MN 55330

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Other Names 1

Former Name (1)Jane Marie Pollock

Secondary Practice Location 1

Location 1911 Northland DrPrinceton, MN 55371-2172 · Phone (763) 389-1313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Pollock Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002266681

PECOS Enrollment IDI20231221003567

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.

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.

MIKKI K MASON LMFT, LADC

Marriage & Family Therapist