Jacqueline M Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006739 Issued in GA

Practice address

2625 Redwing Rd Ste 110
Fort Collins, CO 80526-2878

Phone

(404) 723-5192

NPI assigned

Apr 1, 2013

Last updated

Dec 19, 2018By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1487997078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BUTTE PASS DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263569",
            "telephone_number": "404-422-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262878",
            "telephone_number": "404-723-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas William Johnson
• Elisa Joy Lewis Johnson
• Estee Johnson, PT, DPT
• Heather Johnson, LMFT
• Heidi Johnson
• Jane Louise Johnson, LCSW
• Jolly Samuel Johnson, DDS
• Justin Alan Johnson
• Katelyn Ruth Johnson
• Katherine Roberta Johnson, MSN, RN, CPNP

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.