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DR. JACK ALLEN JOHNSON JR. PH.D.
NPI 1295992030
Psychologist - Clinical in Baton Rouge, LA

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
7777 HENNESSY BLVD STE 501B, BATON ROUGE, LA 70808(225) 765-3456(225) 765-5547 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2022, Oct 5, 2021 (2 updates tracked since 2021).

About Dr. Jack Allen Johnson Jr. Ph.d. NPPES

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

DR. JACK ALLEN JOHNSON JR. PH.D. (NPI 1295992030) is an individual clinical provider in Baton Rouge, Louisiana, licensed in Louisiana (990) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295992030
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACK ALLEN JOHNSON JR.Credential: PH.D.
Location Address7777 HENNESSY BLVD STE 501BBaton Rouge, LA 70808-4300
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-3456 · Fax (225) 765-9196
Phone(225) 765-3456
Fax(225) 765-5547
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 20, 2008
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1295992030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in LA · 990
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 990 (LA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 990 (LA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 990 (LA)
7777 HENNESSY BLVD STE 501B, Baton Rouge, LA 70808
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112469 Timberwood DrWalker, LA 70785-5743 · Phone (225) 485-5763
Location 21931 S Burnside AveGonzales, LA 70737-4632 · Phone (225) 743-2346 · Fax (225) 743-2788

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Providence Health Plan and more.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

Dr. Jack Allen Johnson Jr. Ph.d. 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 ID1456759174
PECOS Enrollment IDI20211012000037
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. MARK LEWIS KANTROW M.D.
Internal Medicine (Hospice and Palliative Medicine)
7777 HENNESSY BLVD STE 501B
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-1737
EMILEE ANNE GAUTREAUX LCSW
Social Worker (Clinical)
7777 HENNESSY BLVD STE 501B
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-2273
CONNIE MARIE BRUNSON PA
Physician Assistant (Medical)
7777 HENNESSY BLVD STE 501B
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-3456

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 1295992030. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Jack Johnson located?

Jack Johnson practices at 7777 Hennessy Blvd Ste 501B, Baton Rouge, LA 70808. The listed phone number is (225) 765-3456.

What is Jack Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jack Johnson enrolled in Medicare?

Yes. Jack 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 Jack Johnson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Providence Health Plan and UnitedHealthcare list Jack 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 Jack Johnson was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.