Jessica Johnson, MA, LPCC
Individual provider Active NPI Professional Counselor · Ham Lake, MN
NPI 1134070139 · NPPES record last updated Feb 5, 2026
Key facts
- NPI
- 1134070139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5415 (MN)
- Practice address
- 18015 Ulysses St NE Ste 400
Ham Lake, MN 55304-4896 - Phone
- (763) 447-8598
- NPI assigned
- Feb 5, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5415 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5415 | MN | Yes |
Addresses
Primary practice location
18015 Ulysses St NE Ste 400
Ham Lake, MN 55304-4896
Mailing address
14512 Jonquil St NW
Andover, MN 55304-3261
Phone (763) 447-8598
Other providers in Ham Lake, MN
- Christine Ann Hess Ingbretson
- Kristin Kay Ingram
- Interpretive Leadership Inc
- Casssandra Lynn Jahn
- Jari Welle, Inc.
- Kerri Anne Buss Transportation
- Scott Harris Kirkhoff
- Koa Health PLLC
- Jennifer N Koenig
- Cheng Ta Lee
All providers in Ham Lake, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.