JENNIFER LYN JOHNSON MS LLP
NPI 1407290711
Psychologist in Gibraltar, MI

Active since April 18, 2013
13938 M GIBRALTAR RD, GIBRALTAR, MI 48173(313) 484-3211(313) 710-4520 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, May 18, 2018, Nov 2, 2016 (3 updates tracked since 2016).

About Jennifer Lyn Johnson Ms Llp NPPES

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

JENNIFER LYN JOHNSON MS LLP (NPI 1407290711) is an individual psychologist in Gibraltar, Michigan, licensed in Michigan (6301010450) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1407290711
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER LYN JOHNSONCredential: MS LLP
Location Address13938 M GIBRALTAR RDGibraltar, MI 48173-9711
Mailing Address13938 M Gibraltar RdGibraltar, MI 48173-9711 · (313) 484-3211 · Fax (313) 710-4520
Fax(313) 710-4520
Sole ProprietorYes
Enumeration DateApril 18, 2013
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1407290711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6301010450
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
13938 M GIBRALTAR RD, Gibraltar, MI 48173

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lyn Johnson Ms Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
13938 MIDDLE GIBRALTAR RD
Gibraltar, MI 48173
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 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.

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 1407290711. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 13938 M Gibraltar Rd, Gibraltar, MI 48173. The listed phone number is (313) 484-3211.

What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to 2 organizations: Conscious Mind Psychiatry Of Michigan (Gibraltar, MI) and Pure Psychiatry Of Michigan PLLC (Wayne, MI). Each 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 Jennifer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers 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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.