JENNA GABRIELLE JOHNSON PSY D
NPI 1710969191
Psychologist - Clinical in Sonora, CA

Q: What is Jenna Johnson's NPI number?

The NPI number for Jenna Johnson is 1710969191. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Q: What is Jenna Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Johnson was last updated on December 4, 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.

Active since November 19, 2005PECOS Enrolled

230 S SHEPHERD ST STE D, SONORA, CA 95370(209) 432-3616 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2023, Dec 15, 2022, Oct 30, 2020 (3 updates tracked since 2020).

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About Jenna Gabrielle Johnson Psy D NPPES

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

JENNA GABRIELLE JOHNSON PSY D (NPI 1710969191) is an individual clinical provider in Sonora, California, licensed in California (PSY18496) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valley Springs.

NPPES Registry Identity

NPI1710969191

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNA GABRIELLE JOHNSONCredential: PSY D

Location Address230 S SHEPHERD ST STE DSonora, CA 95370-5076

Mailing Address230 S Shepherd St Ste DSonora, CA 95370-5076 · (209) 432-3616 · Fax (209) 694-4571

Phone(209) 432-3616

Sole ProprietorYes

Enumeration DateNovember 19, 2005

Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1710969191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18496

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

230 S SHEPHERD ST STE D, Sonora, CA 95370

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Secondary Practice Location 1

Location 151 Wellness WayValley Springs, CA 95252-9736 · Phone (209) 772-7070 · Fax (209) 772-1011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Jenna Gabrielle Johnson Psy D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95370 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

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

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

JESSICA N CARTER ACSW

Social Worker (Clinical)

230 S SHEPHERD ST STE D
SONORA, CA 95370

Tuolumne County (209) 454-5904

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 1710969191. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is Jenna Johnson located?

Jenna Johnson practices at 230 S Shepherd St Ste D, Sonora, CA 95370. The listed phone number is (209) 432-3616.

What is Jenna Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jenna Johnson enrolled in Medicare?

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

What insurance does Jenna Johnson accept?

Health plans from Providence Health Plan list Jenna 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 Jenna Johnson was last updated on December 4, 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.