JACQUELYN L JOHNSON MS, CGC
NPI 1194380576
Genetic Counselor, MS in Bloomington, IL

Active since May 01, 2019
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 665-4849 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Oct 1, 2021, May 1, 2019 (3 updates tracked since 2019).

About Jacquelyn L Johnson Ms, Cgc NPPES

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

JACQUELYN L JOHNSON MS, CGC (NPI 1194380576) is an individual genetic counselor, ms provider in Bloomington, Illinois, licensed in Illinois (246000255) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1194380576
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameJACQUELYN L JOHNSONCredential: MS, CGC
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address2200 E Washington StBloomington, IL 61701-4364
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateOctober 5, 20213 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
NPI 1194380576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License Licensed in IL · 246000255
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
2200 E WASHINGTON ST, Bloomington, IL 61701

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.

Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701

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 Jacquelyn Johnson's NPI number?

The NPI number for Jacquelyn Johnson is 1194380576. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Jacquelyn Johnson located?

Jacquelyn Johnson practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 665-4849.

What is Jacquelyn Johnson's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Johnson was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.