Jennifer Ann Johnson, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3231 Issued in MN

Practice address

5337 Logan Ave S
Minneapolis, MN 55419-1048

Phone

(612) 859-2976

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1366199697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 LOGAN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191048",
            "telephone_number": "612-516-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 LOGAN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191048",
            "telephone_number": "612-859-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15999 Tonkawood Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451438",
            "country_code": "US",
            "telephone_number": "612-859-2976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MA LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden McHale Johnson, NONE
• James R. Johnson, MD
• Jan Diane Johnson, MD
• Janis Ann Johnson, OTR
• Jasmine Lee Johnson, PHARMD
• Jennifer L Johnson, OTR/L
• Jennifer Susan Johnson, CRNA
• Jeremiah Joseph Johnson, MD
• Jessica Joy Johnson, CD
• Jill B Johnson, MD

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.