DR. JACK ALLEN JOHNSON JR. PH.D.
NPI 1295992030
Psychologist - Clinical in Baton Rouge, LA
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
Specialties & Licenses 4
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jack Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
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.
Which organization bills Medicare for Jack Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Johnson reassigns Medicare benefits to Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Johnson accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana 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 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.
# Dr. Jack Allen Johnson Jr., PH.D. · NPI 1295992030
Clinical provider in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1295992030 (Entity type: Individual)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 990 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7777 HENNESSY BLVD STE 501B, Baton Rouge, LA 70808-4300
- **Phone:** (225) 765-3456 · **Fax:** (225) 765-5547
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295992030) · Data from the CMS NPPES public registry.