Juniper Lane Psychiatry, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JUNIPER LANE PSYCHIATRY, LLC

Practice address

50 Pearl Rd Ste 111
Brunswick, OH 44212-5703

Phone

(330) 274-4225

Fax

(216) 412-6932

NPI assigned

May 22, 2026

Last updated

Jul 27, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Johnson, CNPNPI 1982291530

Title

Owner

Phone

(330) 274-4225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Johnson, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medina, OH
  • NPI 1982291530
  NPD Authorized official

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1568392363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PEARL RD STE 111",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125703",
            "telephone_number": "330-274-4225",
            "fax_number": "216-412-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PEARL RD STE 111",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125703",
            "telephone_number": "330-274-4225",
            "fax_number": "216-412-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER LANE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-274-4225",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Johnson
• Kerri Johnson
• Stephan Dejan Jokic
• Josephine House
• Juliann R. Demand-Balski DDS Inc.
• Oksana Kachmar
• Jessica E Kaczynski, L.P.N.
• Nadia K Kaisi, MD
• Scott Dwayne Kammer, OD
• Christina Michelle Kargle, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.