Jacqueline Margaret Johnsen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227-012005 Issued in IL

Practice address

1113 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3758

Phone

(847) 693-9775

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1619418019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 STATION PARK CIR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302468",
            "telephone_number": "847-693-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-693-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "JACQUELINE",
        "middle_name": "MARGARET",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227-012005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jensen, FNP-BC
• Sarah Jensen, SLP
• John David Jochem, PSY.D.
• John D Jochem, Psy.D., P.C.
• Tommy Edward John III, D.C.
• Fiona Catherine Johnson, LCSW
• Holly Johnson
• Rita J Johnson, LCSW
• Robert B Johnson, M.D.
• Tiffany Ulett Johnson, PHARMACIST

• Massage Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.