Jared Randall Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

F22-101891 Issued in UT

Practice address

1085 S Bluff St BSMT
St George, UT 84770-5245

Phone

(435) 674-9999

NPI assigned

Oct 6, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1568337137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 200 E APT 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703649",
            "telephone_number": "435-674-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S BLUFF ST BSMT",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705245",
            "telephone_number": "435-674-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARED",
        "middle_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": "F23-108644",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "F22-101891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndia L. Johnson, C.N.M.
• Diamond Johnson
• Diana Johnson
• Jacoby Johnson
• Jake Fawcett Johnson, PA-C
• Jessica Johnson
• Justin Morgan Johnson
• Kamwren Johnson
• Kendra Susan Johnson, MFTI
• Kevin R. Johnson, LCSW

• Case Manager/Care Coordinator in St George, UT
• Providers in St George, UT by specialty
• Case Manager/Care Coordinator in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.