JEREMIAH JOHNSON
NPI 1669027066
Social Worker - Clinical in Glendale, WI

Active since August 03, 2019PECOS Enrolled
5215 N IRONWOOD RD STE 202, GLENDALE, WI 53217(715) 903-6444 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, May 6, 2023, Jan 18, 2022 and 1 more (4 updates tracked since 2019).

About Jeremiah Johnson NPPES

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

JEREMIAH JOHNSON (NPI 1669027066) is an individual clinical provider in Glendale, Wisconsin, licensed in Wisconsin (9262-123) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669027066
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMIAH JOHNSON
Location Address5215 N IRONWOOD RD STE 202Glendale, WI 53217-4908
Mailing Address5215 N Ironwood Rd Ste 202Glendale, WI 53217-4908 · (715) 903-6444
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 3, 2019
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1669027066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 9262-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5215 N IRONWOOD RD STE 202, Glendale, WI 53217

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2567933013
PECOS Enrollment IDI20260604003961
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Adult Mental Health)
5215 N IRONWOOD RD STE 202
MILWAUKEE, WI 53217
Nurse Practitioner (Psychiatric/Mental Health)
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217
In Home Supportive Care
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217
Internal Medicine (Sleep Medicine)
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217
Clinic/Center (Birthing)
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217
Social Worker (Clinical)
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217
Case Management
5215 N IRONWOOD RD STE 202
GLENDALE, WI 53217

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 Jeremiah Johnson's NPI number?

The NPI number for Jeremiah Johnson is 1669027066. It was assigned to this individual provider in the NPPES registry on August 3, 2019.

Where is Jeremiah Johnson located?

Jeremiah Johnson practices at 5215 N Ironwood Rd Ste 202, Glendale, WI 53217. The listed phone number is (715) 903-6444.

What is Jeremiah Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeremiah Johnson enrolled in Medicare?

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

What insurance does Jeremiah Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and UnitedHealthcare list Jeremiah Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremiah Johnson was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.