Jeffrey Lynn Johnson, PSYD

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

120 Issued in NC

Practice address

1014 Lyndhurst Falls LN
Knightdale, NC 27545-9716

Phone

(910) 620-9482

NPI assigned

Dec 13, 2021

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

Other names 1

• Jeff Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1669131108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 LYNDHURST FALLS LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459716",
            "telephone_number": "910-620-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 LYNDHURST FALLS LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459716",
            "telephone_number": "910-620-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "JOHNSON",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Istay Homecare Services
• Veronica Jackson Medley, LPA
• Kenneth E Jarmon Sr., DR
• Tyler James Jensen, MS, LCMHC, LMHC, NCC
• Marquita Renee Johnson Manneh, MSW, LCSW
• Nyla Johnson
• Raeanne Tatem Johnson, RN,MSN,CPNP-PC
• Stephen E. Johnson, M.D.
• Patrice Nicole Jones, LPC
• Amos Jordan Jr.

• Pastoral Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Pastoral Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.