Individual provider Active NPI

Jennifer Elizabeth Johnson, LPCC

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1598277154
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2102151 Issued in OH
Practice address
6905 Given Rd
Cincinnati, OH 45243-2839
Phone
(513) 561-7298
Fax
(513) 527-7600
NPI assigned
Nov 3, 2017
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2102151 OH Primary
Mental Health Counselor 101YM0800X C.1801305 OH
Professional Counselor 101YP2500X E.2102151 OH
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

6905 Given Rd
Cincinnati, OH 45243-2839

Mailing address

4633 Aicholtz Road
Cincinnati, OH 45244-1518

Other practice location 1

551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 752-1555 ext. 7055

Other practice location 2

551 Cincinnati-Batavia-Pike
Cincinnati, OH 45244
Phone (513) 752-1555

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

LicenseStateTypeSpecialty
E.2102151OHMDCounselor
C.1801305OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1598277154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 AICHOLTZ ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 GIVEN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432839",
            "telephone_number": "513-561-7298",
            "fax_number": "513-527-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441518",
            "country_code": "US",
            "telephone_number": "513-752-1555 x7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Cincinnati-Batavia-Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45244",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2102151",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801305",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102151",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.