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MRS. JENNA MARIE JOHNSON MA, NCC, LMHC
NPI 1609602978
Counselor - Mental Health in Indianapolis, IN

Active since September 12, 2024PECOS Enrolled
6038 N KEYSTONE AVE, INDIANAPOLIS, IN 46220(317) 296-4914 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jenna Marie Johnson Ma, Ncc, Lmhc NPPES

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

MRS. JENNA MARIE JOHNSON MA, NCC, LMHC (NPI 1609602978) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39005075A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609602978
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNA MARIE JOHNSONCredential: MA, NCC, LMHC
Location Address6038 N KEYSTONE AVEIndianapolis, IN 46220-2590
Mailing Address12950 Grand Blvd Apt 2a-15Carmel, IN 46032-5290 · (815) 790-6305
Phone(317) 296-4914
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1609602978 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 IN · 39005075A
6038 N KEYSTONE AVE, Indianapolis, IN 46220
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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)

Mrs. Jenna Marie Johnson Ma, Ncc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769916758
PECOS Enrollment IDI20241113003095
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.

LUKE CHARLES EBERHARDT
Respite Care
6038 N KEYSTONE AVE
INDIANAPOLIS, IN 46220
Marion County (714) 345-5230
JOSH AUSTIN TAYLOR
Contractor
6038 N KEYSTONE AVE
INDIANAPOLIS, IN 46220
Marion County (317) 296-4914

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 Jenna Johnson's NPI number?

The NPI number for Jenna Johnson is 1609602978. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Jenna Johnson located?

Jenna Johnson practices at 6038 N Keystone Ave, Indianapolis, IN 46220. The listed phone number is (317) 296-4914.

What is Jenna Johnson's specialty?

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

Is Jenna Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jenna Johnson was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.