MS. JENNIFER ELLEN JOHNSON
NPI 1487125464
Counselor in Clarks Summit, PA

Q: What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1487125464. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 17, 2018PECOS Enrolled

614 HAVEN LN, CLARKS SUMMIT, PA 18411(831) 578-9775 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Ms. Jennifer Ellen Johnson NPPES

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

MS. JENNIFER ELLEN JOHNSON (NPI 1487125464) is an individual counselor in Clarks Summit, Pennsylvania and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487125464

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. JENNIFER ELLEN JOHNSON

Location Address614 HAVEN LNClarks Summit, PA 18411-2402

Mailing Address614 Haven LnClarks Summit, PA 18411-2402 · (831) 578-9775

Phone(831) 578-9775

Sole ProprietorNo

Enumeration DateDecember 17, 2018

✔ NPI 1487125464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

614 HAVEN LN, Clarks Summit, PA 18411

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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)

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

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 Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1487125464. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 614 Haven Ln, Clarks Summit, PA 18411. The listed phone number is (831) 578-9775.

What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jennifer Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.