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JACQUELINE JOHANSEN
NPI 1346501244
Counselor - Mental Health in Santa Rosa, CA

Active since June 06, 2012
1160 N DUTTON AVE, SUITE 105, SANTA ROSA, CA 95401(707) 545-2700(707) 545-2774 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Johansen NPPES

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

JACQUELINE JOHANSEN (NPI 1346501244) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1346501244
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE JOHANSEN
Location Address1160 N DUTTON AVE, SUITE 105Santa Rosa, CA 95401-4600
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132
Phone(707) 545-2700
Fax(707) 545-2774
Sole ProprietorNo
Enumeration DateJune 6, 2012
✔ NPI 1346501244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1160 N DUTTON AVE, Santa Rosa, CA 95401
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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.

DR. STEVAN KERAM M.D.
Psychiatry & Neurology (Psychiatry)
1160 N DUTTON AVE, SUITE 255
SANTA ROSA, CA 95401
Sonoma County (707) 526-8800
CRYSTAL CARPENTER
Technician, Health Information (Assistant Record Technician)
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
MR. EVAN BACHELDER LMT
Mechanotherapist
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 541-6258
ALEXANDRA DEXTER ND
Naturopath
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 888-4191
PHILIPPA LOCKWOOD
Technician, Health Information (Assistant Record Technician)
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
LESLIE BURKE
Behavior Technician
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (855) 223-7123
KIMBERLY PETERSON MA, MFTI
Marriage & Family Therapist
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
MRS. DANA ELIZABETH FALLS M.A., MFT
Marriage & Family Therapist
1160 N DUTTON AVE, SUITE 250
SANTA ROSA, CA 95401
Sonoma County (707) 696-6138

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 Jacqueline Johansen's NPI number?

The NPI number for Jacqueline Johansen is 1346501244. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Jacqueline Johansen located?

Jacqueline Johansen practices at 1160 N Dutton Ave Suite 105, Santa Rosa, CA 95401. The listed phone number is (707) 545-2700.

What is Jacqueline Johansen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Johansen was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.