Individual provider Active NPI

Jo Angela Johnston, PSY.D.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1174841852
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3393 Issued in CO
Practice address
13650 E Mississippi Ave
Aurora, CO 80012
Phone
(303) 695-1338
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3393 CO Primary

Addresses

Primary practice location

13650 E Mississippi Ave
Aurora, CO 80012

Mailing address

4045 Wadsworth Blvd Ste 308
Wheat Ridge, CO 80033-4626
Phone (303) 500-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000211 CO Practitioner - Clinical Psychologist 1557543469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4045 Wadsworth Blvd
Suite 308
Wheat Ridge, CO 80033-4626
Phone (303) 500-3253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3393COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Dawn Counseling Center LLC CurrentSince May 1, 2018 Accepting new patients
Nu Dawn Counseling Center LLC Current Accepting new patients

Locations

4045 Wadsworth Blvd
Ste 308
Wheat Ridge, CO 80033
Phone (303) 421-1896

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1174841852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD STE 308",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334626",
            "telephone_number": "303-500-3253",
            "fax_number": "303-328-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-695-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JO",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.