JENNIFER BOLAR JOHNSON
NPI 1104521830
Counselor - Mental Health in Daphne, AL

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
28851 N MAIN ST, DAPHNE, AL 36526(251) 615-1233 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Bolar Johnson NPPES

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

JENNIFER BOLAR JOHNSON (NPI 1104521830) is an individual mental health provider in Daphne, Alabama, licensed in Alabama (ALC04448) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2004).

NPPES Registry Identity

NPI1104521830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER BOLAR JOHNSON
Location Address28851 N MAIN STDaphne, AL 36526-7273
Mailing Address28851 N Main StDaphne, AL 36526-7273 · (251) 615-1233
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2004
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
NPI 1104521830 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 AL · ALC04448
28851 N MAIN ST, Daphne, AL 36526

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Bolar Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305368507
PECOS Enrollment IDI20250318000309
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

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

Durable Medical Equipment & Medical Supplies
28851 N MAIN ST, SUITE 2
DAPHNE, AL 36526

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 1104521830. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 28851 N Main St, Daphne, AL 36526. The listed phone number is (251) 615-1233.

What is Jennifer Johnson's specialty?

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

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Johnson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jennifer Johnson 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 Jennifer Johnson was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.