Jacob Ryne Johnson, COUNSELOR, PROF

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17622 Issued in AZ

Practice address

16601 N 40TH St Ste 216
Phoenix, AZ 85032-3354

Phone

(623) 469-0606

NPI assigned

Feb 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenix Therapists Hub LLCGroup PAC ID 0042749202, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Therapists Hub LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1649095837
  Medicare reassignment Care Compare group NPD
• Turnwell Mental Health of Arizona, PC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1639872518

  Counselor

  Medicare reassignment NPD
• J.R. Johnson Counseling, LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1518820703
  NPD Authorized official
• Scottsdale Mental Health and Wellness Institute

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1366968125

  Counselor

  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1184180655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323354",
            "telephone_number": "623-469-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323354",
            "telephone_number": "623-469-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACOB",
        "middle_name": "RYNE",
        "credential": "COUNSELOR, PROF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17622",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-17622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galen Johnson, M.D.
• Huegina Johnson
• Irma Yolanda Johnson, PT
• Isaac Johnson
• Jaclyn Mae Johnson, OTD, OTR/L
• Jaime Eleanor Johnson, PA-C
• James Johnson
• James M Johnson, MD
• James T Johnson, M.D.
• Jamie Johnson

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.