JENNIFER SUE JOHNSON LPC
NPI 1508439381
Counselor - Mental Health in West Bend, WI

Q: What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1508439381. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Q: What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 20, 2021PECOS EnrolledAccepts Medicare Assignment

333 E WASHINGTON ST STE 2100, WEST BEND, WI 53095(262) 335-4600(262) 335-6827 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jennifer Sue Johnson Lpc NPPES

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

JENNIFER SUE JOHNSON LPC (NPI 1508439381) is an individual mental health provider in West Bend, Wisconsin, licensed in Wisconsin (8136-125) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508439381

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER SUE JOHNSONCredential: LPC

Location Address333 E WASHINGTON ST STE 2100West Bend, WI 53095-2503

Mailing Address333 E Washington St Ste 2100West Bend, WI 53095-2503 · (262) 335-4600 · Fax (262) 335-6827

Phone(262) 335-4600

Fax(262) 335-6827

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 20, 2021

NPPES CertifiedJuly 20, 2021

✔ NPI 1508439381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 8136-125

333 E WASHINGTON ST STE 2100, West Bend, WI 53095

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

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

Jennifer Sue Johnson Lpc 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 ID4981149200

PECOS Enrollment IDI20240711000878

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.

County Of Sheboygan

32 mi

Community/Behavioral Health

1011 N 8TH ST
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
9 clinicians in this Medicare group

NPI 1477677615 (920) 459-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

JONATHAN FRANCE LPC, SAC-IT

Counselor (Professional)