Jill Johnson, MC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

880 Burbank Ave
Suffield, CT 06078-1459

Phone

(480) 273-3844

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

Yes

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.

• Dana Therapeutic Services

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1083114458

  Mental Health

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2024.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1518441997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEETING HOUSE LN",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824955",
            "telephone_number": "480-273-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BURBANK AVE",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781459",
            "telephone_number": "480-273-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JILL",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Hull
• Geoffrey Hulse, DPT
• Amy Hunleth, RD
• Innerworld Nutrition LLC
• Jamie Jensen
• Elizabeth Johnston
• Samuel Ervine Johnston II, HIS
• Bonnie Jones, LPC-A
• Joy Through Acceptance Counseling, PLLC
• JS Therapeutic Solutions LLC

• All providers in Suffield, CT
• Mental Health Counselor in Connecticut

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