Jennifer Ann Johnston, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000007570 Issued in MA

Practice address

375 Mather St
Suite 2
Hamden, CT 06514-3101

Phone

(617) 699-3101

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Ann Yadon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Collaborative Change Counseling and Wellness, LLC

  • Professional Counselor
  • Hamden, CT
  • NPI 1831630235

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1316241334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HEPBURN RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172925",
            "telephone_number": "617-699-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MATHER ST",
            "address_2": "SUITE 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143101",
            "telephone_number": "617-699-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013824",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2205",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000007570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YADON",
            "middle_name": "ANN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Christine Johnson
• Keyaira D Johnson
• Marielle Johnson, LCSW
• Randy M Johnson, PA-C
• Sarah Maria Johnson, MPT
• Jonathan L. Goldberg DMD
• Jonathan Stern, M.S., L.P.C., L.a.D.C., Counseling and Psychotherapy S
• Alexis Jones
• Janiah M Jones
• Paris Lanee Jones

• Mental Health Counselor in Hamden, CT
• Providers in Hamden, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.