Jade D Johnson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8622-C Issued in AR

Practice address

6701 Highway 67
Benton, AR 72015-8909

Phone

(501) 303-3105

NPI assigned

Oct 23, 2017

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.

• Momentum Therapeutic Services

  • Professional Counselor
  • Sherwood, AR
  • NPI 1215664099
  NPD (past)

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1518478064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HIGHWAY 67",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158909",
            "telephone_number": "501-303-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Wildwood Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721206014",
            "country_code": "US",
            "telephone_number": "501-983-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JADE",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "PLMSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8622-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryisha Johnson, RECOVERY ASSISTANT
• Carrie Anne Johnson, MPT
• Derek Johnson
• Hannah Kate Johnson, MSPED, BCBA
• Hillary Johnson
• James Eric Johnson, QBHP
• Jeffrey S Johnson, M.D.
• Jennifer Searcy Johnson, BS/MHPP
• Jerry Johnson
• Kayce Johnson, LPE

• Clinical Social Worker in Benton, AR
• Providers in Benton, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.