Active NPI
Jessica Johnston, EDS
- School Psychologist
- Hope, IN
National Provider Identifier
1528892015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 10247546
- Practice address
- 9423 N State Road 9
Hope, IN 47246-9760 - Phone
- (812) 546-5001
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10247546 | IN | Primary |
Addresses
Primary practice location
9423 N State Road 9
Hope, IN 47246-9760
Mailing address
9575 N State Road 9
Hope, IN 47246-9760
Phone (812) 546-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10247546 | IN | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartholomew County Auditor | Past | Accepting new patients | |
| Flat Rock-Hawcreek School Corporaiton | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Columbus, IN
- NPI 1205184546
-
- Local Education Agency (LEA)
- Hope, IN
- NPI 1841536877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1528892015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9575 N STATE ROAD 9",
"city": "HOPE",
"state": "IN",
"postal_code": "472469760",
"telephone_number": "812-546-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9423 N STATE ROAD 9",
"city": "HOPE",
"state": "IN",
"postal_code": "472469760",
"telephone_number": "812-546-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "EDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "10247546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hope, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.