Individual provider Active NPI

Jennifer L Johnson, CSW

  • Mental Health Counselor
  • Pierre, SD
National Provider Identifier
1568877918
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
420 S Henry St
Pierre, SD 57501-4515
Phone
(605) 299-4859
NPI assigned
Jun 24, 2014
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

420 S Henry St
Pierre, SD 57501-4515

Mailing address

420 S Henry St
Pierre, SD 57501-4515
Phone (605) 223-1510

Other practice location 1

500 E 9th St
Winner, SD 57580-2604
Phone (605) 842-1465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200803001640 SD Practitioner - Clinical Social Worker 8527483973 Reassigns benefits to 1 organization
I20240321001670 NE Practitioner - Clinical Social Worker 8527483973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

Practice addresses (Care Compare)

317 N Heritage Ave
Tea, SD 57064-2539
Phone (605) 494-1500

420 S Henry St
Pierre, SD 57501-4515
Phone (605) 494-1500

420 W 2ND St
Valentine, NE 69201-1703
Phone (605) 494-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Together, Inc Mental Health CurrentSince Jan 24, 2021 Accepting new patients
Southern Plains Behavioral Health Services Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1568877918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HENRY ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014515",
            "telephone_number": "605-223-1510",
            "fax_number": "605-494-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HENRY ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014515",
            "telephone_number": "605-299-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802604",
            "country_code": "US",
            "telephone_number": "605-842-1465",
            "fax_number": "605-842-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.