Jeremiah Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9262-123 Issued in WI

Practice address

5215 N Ironwood Rd Ste 202
Glendale, WI 53217-4908

Phone

(715) 903-6444

NPI assigned

Aug 3, 2019

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

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

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapized LLC

  • Clinical Social Worker
  • Glendale, WI
  • NPI 1942070891
  NPD Authorized official
• Tall Pines Behavioral Health LLC

  • Health Service Psychologist
  • Wausau, WI
  • NPI 1215519764
  Medicare reassignment
• Gateways Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marshfield, WI
  • NPI 1811489206
  NPD (past)

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1669027066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N IRONWOOD RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174908",
            "telephone_number": "715-903-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N IRONWOOD RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174908",
            "telephone_number": "715-903-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEREMIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9262-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lee Jenkins, RN
• Thomasina Marie Jenkins, LCSW,CSAC
• JM Janssen Dba Paramount Optical Lab
• John E. Darling, D.D.S., LLC
• Aretha Michelle Johnson, L.P.N
• Joints in Motion Medical, LLC
• Patricia M Jones Cooper, NP
• Angelina Sheree Jones, BACHELOR DEGREE
• Tremone Joyner
• Joyride Transport, LLC

• Clinical Social Worker in Glendale, WI
• Providers in Glendale, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.