JESSICA JOHNSON
NPI 1629737101
Counselor - Professional in Princeton, KY
About Jessica Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA JOHNSON (NPI 1629737101) is an individual professional provider in Princeton, Kentucky, licensed in Kentucky (294045) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bowling Green, KY 42103
- Reassigned Medicare billing, Kentucky enrollment
- 91 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Johnson's NPI number?
The NPI number for Jessica Johnson is 1629737101. It was assigned to this individual provider in the NPPES registry on December 13, 2021.
Where is Jessica Johnson located?
Jessica Johnson practices at 1350 Us Highway 62 W, Princeton, KY 42445. The listed phone number is (270) 365-2008.
What is Jessica Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jessica Johnson enrolled in Medicare?
Yes. Jessica Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Johnson reassigns Medicare benefits to Lifeskills, Inc. (Bowling Green, KY). 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 Jessica 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 Jessica Johnson was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jessica Johnson · NPI 1629737101
Professional provider in Princeton, Kentucky. Individual provider, active in the CMS NPPES registry since December 13, 2021.
## Identity
- **NPI:** 1629737101 (Entity type: Individual)
- **Enumerated:** December 13, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 294045 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1350 US HIGHWAY 62 W, Princeton, KY 42445-6106
- **Phone:** (270) 365-2008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lifeskills, Inc. (NPI 1669401816, Bowling Green, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629737101) · Data from the CMS NPPES public registry.