JASMINE JENAY JOHNSON LCPC
NPI 1417665258
Counselor - Professional in South Holland, IL

Q: What is Jasmine Johnson's NPI number?

The NPI number for Jasmine Johnson is 1417665258. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Q: What is Jasmine Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Johnson was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 10, 2022PECOS Enrolled

207 E 169TH PL, SOUTH HOLLAND, IL 60473(708) 552-0334 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jasmine Jenay Johnson Lcpc NPPES

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

JASMINE JENAY JOHNSON LCPC (NPI 1417665258) is an individual professional provider in South Holland, Illinois and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1417665258

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJASMINE JENAY JOHNSONCredential: LCPC

Location Address207 E 169TH PLSouth Holland, IL 60473-2953

Mailing Address207 E 169th PlSouth Holland, IL 60473-2953

Phone(708) 552-0334

Sole ProprietorNo

Medical School CMSOther

Enumeration DateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1417665258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

207 E 169TH PL, South Holland, IL 60473

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Jenay Johnson Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840763066

PECOS Enrollment IDI20260629000700

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.

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 Jasmine Johnson's NPI number?

The NPI number for Jasmine Johnson is 1417665258. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Jasmine Johnson located?

Jasmine Johnson practices at 207 E 169th Pl, South Holland, IL 60473. The listed phone number is (708) 552-0334.

What is Jasmine Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jasmine Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jasmine Johnson was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.