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JADE JOHNSON
NPI 1548042336
Counselor in Woodstock, GA

Active since October 17, 2023PECOS Enrolled
3217 S CHEROKEE LN STE 730, WOODSTOCK, GA 30188(678) 694-1573 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jade Johnson NPPES

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

JADE JOHNSON (NPI 1548042336) is an individual counselor in Woodstock, Georgia and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548042336
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJADE JOHNSON
Location Address3217 S CHEROKEE LN STE 730Woodstock, GA 30188-7053
Mailing Address1889 Hamby Place Dr NwAcworth, GA 30102-6461 · (678) 595-3718
Phone(678) 694-1573
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1548042336 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.
3217 S CHEROKEE LN STE 730, Woodstock, GA 30188
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Secondary Practice Locations 3

Location 13235 S Cherokee Ln Bldg 1200Woodstock, GA 30188-4461 · Phone (678) 694-1573
Location 24343 Shallowford Rd Ste 410Marietta, GA 30062-5067 · Phone (678) 694-1573
Location 33400 Old Milton Pkwy Fl 395Alpharetta, GA 30005-3707 · Phone (678) 694-1573

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3779051578
PECOS Enrollment IDI20260511001624
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.

Other Providers at the Same Location NPPES 2

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

JESS MAY
Social Worker (Clinical)
3217 S CHEROKEE LN STE 730
WOODSTOCK, GA 30188
Cherokee County (678) 384-4911
CATHRYN HEETER
Social Worker (Clinical)
3217 S CHEROKEE LN STE 730
WOODSTOCK, GA 30188
Cherokee County (678) 384-4911

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 Jade Johnson's NPI number?

The NPI number for Jade Johnson is 1548042336. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Jade Johnson located?

Jade Johnson practices at 3217 S Cherokee Ln Ste 730, Woodstock, GA 30188. The listed phone number is (678) 694-1573.

What is Jade Johnson's specialty?

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

Is Jade Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jade Johnson was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.