Individual provider Active NPI

Jenna Marie Johnson, MA, NCC, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1609602978
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005075A Issued in IN
Practice address
6038 N Keystone Ave
Indianapolis, IN 46220-2590
Phone
(317) 296-4914
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 39005075A IN Primary

Addresses

Primary practice location

6038 N Keystone Ave
Indianapolis, IN 46220-2590

Mailing address

12950 Grand Blvd Apt 2a-15
Carmel, IN 46032-5290
Phone (815) 790-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241113003095 IN Practitioner - Mental Health Counselor 2769916758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
One Sensible Solution LLCGroup PAC ID 5294965919, 11 clinicians

Practice addresses (Care Compare)

6038 N Keystone Ave
One Sensible Solution
Indianapolis, IN 46220-2590
Phone (317) 296-4914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39005075AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
One Sensible Solution LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

6038 N Keystone Ave
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 420
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 42
Indianapolis, IN 46220
Phone (317) 296-4914

6038 N Keystone Ave
#One
Indianapolis, IN 46220
Phone (317) 296-4914

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1609602978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 GRAND BLVD APT 2A-15",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325290",
            "telephone_number": "815-790-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6038 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202590",
            "telephone_number": "317-296-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005075A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.