DR. JAN GARY JOHNSON PH.D.
NPI 1730285008
Psychologist - Clinical in Longview, WA

Q: What is Jan Johnson's NPI number?

The NPI number for Jan Johnson is 1730285008. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Jan 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 Jan Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2006PECOS Enrolled

945 11TH AVE, SUITE B, LONGVIEW, WA 98632(360) 414-8600(360) 636-7372 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jan Gary Johnson Ph.d. NPPES

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

DR. JAN GARY JOHNSON PH.D. (NPI 1730285008) is an individual clinical provider in Longview, Washington, licensed in Washington (2721) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730285008

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAN GARY JOHNSONCredential: PH.D.

Location Address945 11TH AVE, SUITE BLongview, WA 98632-2555

Mailing Address945 11th Ave, Suite BLongview, WA 98632-2555 · (360) 414-8600 · Fax (360) 636-7372

Phone(360) 414-8600

Fax(360) 636-7372

Sole ProprietorYes

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730285008 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 WA · 2721

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.

945 11TH AVE, Longview, WA 98632

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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)

Dr. Jan Gary Johnson Ph.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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

361 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.