Jasmine N Johnson, MA ,LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13625 Issued in NC

Practice address

392 Summerwind Plantation Dr
Garner, NC 27529-6044

Phone

(919) 771-5691

NPI assigned

Dec 15, 2017

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)

Not enrolled

Credentials

Master of Arts

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.

• Imprints by Jazz Counseling Services PLLC

  • Mental Health Counselor
  • Garner, NC
  • NPI 1841879400
  NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1417463290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLEN RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297943",
            "telephone_number": "919-771-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 SUMMERWIND PLANTATION DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296044",
            "telephone_number": "919-771-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Shellum St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276102746",
            "country_code": "US",
            "telephone_number": "919-886-1749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JASMINE",
        "middle_name": "N",
        "credential": "MA ,LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisha Alexis Jeffreys
• Daniel Jennings
• JJ Home Care LLC
• JJ Home Care LLC
• Johnson Optometric Associates PA
• Jeffrey Johnson, MD
• Taylor Johnson
• Johnsons Family Pharmacy and Compounding LLC
• Johnston Memorial Hospital Authority
• Johnston Memorial Quik Med II

• Mental Health Counselor in Garner, NC
• Providers in Garner, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.