Jay Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-ACLC-LIC-64298 Issued in MT

Practice address

2216 Boothill CT Ste 3
Bozeman, MT 59715-7215

Phone

(406) 600-5007

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Star Counseling & Recovery PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Three Forks, MT
  • NPI 1659210300
  NPD Authorized official
• Sunburst Health LLC

  dba Cedar Creek Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1093297764

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1295553089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597520978",
            "telephone_number": "406-490-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BOOTHILL CT STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157215",
            "telephone_number": "406-600-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-64298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson, LCSW
• Christene M Johnson, PAC
• Cynthia Ruth Johnson, OD
• David Bruce Johnson
• Eric L Johnson, M.D.
• Jeff T Johnson, LPC, LCPC
• Jennifer Anne Johnson, NP
• Jennifer L. Johnson, RD
• Joseph Mitchell Johnson, SWLC
• Karna K. Johnson, MS, PT

• Addiction (Substance Use Disorder) Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.