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JACQUALINE TIA JOHNSON
NPI 1477066520
Counselor - Mental Health in Lodi, CA

Active since November 13, 2017
1209 W TOKAY ST STE 5, LODI, CA 95240(209) 331-2070 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqualine Tia Johnson NPPES

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

JACQUALINE TIA JOHNSON (NPI 1477066520) is an individual mental health provider in Lodi, California and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1477066520
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUALINE TIA JOHNSON
Location Address1209 W TOKAY ST STE 5Lodi, CA 95240-3845
Mailing Address1209 W Tokay St Ste 5Lodi, CA 95240-3845
Phone(209) 331-2070
Sole ProprietorNo
Enumeration DateNovember 13, 2017
✔ NPI 1477066520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1209 W TOKAY ST STE 5, Lodi, CA 95240
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Other Providers at the Same Location NPPES

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

NICHOLE PHILLIPS
Community Health Worker
1209 W TOKAY ST STE 5
LODI, CA 95240
San Joaquin County (209) 331-2077

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 Jacqualine Johnson's NPI number?

The NPI number for Jacqualine Johnson is 1477066520. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Jacqualine Johnson located?

Jacqualine Johnson practices at 1209 W Tokay St Ste 5, Lodi, CA 95240. The listed phone number is (209) 331-2070.

What is Jacqualine Johnson'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 Jacqualine Johnson was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.