Nicole Jackie Johnson-Chavez

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6497 Issued in MN

Practice address

100 Freeman Dr
Saint Peter, MN 56082-3504

Phone

(507) 985-2000

NPI assigned

Dec 28, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Compass Counseling Services, LLC

  • Professional Counselor
  • Springfield, MO
  • NPI 1194042002
  NPD (past)
• Compass Counselling Services

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1093091514
  NPD (past)

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1376889014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FREEMAN DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560823504",
            "telephone_number": "507-985-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREEMAN DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560823504",
            "telephone_number": "507-985-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 E Battlefield St",
            "address_2": "Suite 102B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658074807",
            "country_code": "US",
            "telephone_number": "417-597-4572",
            "fax_number": "417-882-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-CHAVEZ",
        "first_name": "NICOLE",
        "middle_name": "JACKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jarcho, F-PMHNP
• Ashley Jaspers, CNP
• Danelle M Jenkins, MA, LPCC
• Allison Jensen, LPCC
• Peter Burnett Johansen, M.D.
• Molly Patricia Johnson, LICSW, LADC
• Tricia May Johnson, LICSW
• Molly Rae Jones, MS,LICSW
• Elisha Kampfe, PSY.D.
• Megan Kauffmann, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.