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

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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 and is a graduate of Other (2015).

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
Medical School CMSOtherGraduated 2015
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Ellen Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254899552
PECOS Enrollment IDI20260817004450
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychological Health Affiliates LLC
96 mi
Psychologist
934 E CHOCOLATE AVE
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1740201920 (717) 665-2675

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to Psychological Health Affiliates LLC (Hershey, PA). The 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.

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.