Active NPI
Jenice E Johnson, MSW LSW LICDC
- Social Worker
- Columbus, OH
National Provider Identifier
1679084453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2613349
- Practice address
- 2929 Kenny Rd Ste 230
Columbus, OH 43221-2415 - Phone
- (614) 321-9144
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2613349 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162971 | OH |
Addresses
Primary practice location
2929 Kenny Rd Ste 230
Columbus, OH 43221-2415
Mailing address
1255 N Hamilton Rd
Gahanna, OH 43230-6785
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.162971 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2613349 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1679084453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 N HAMILTON RD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 KENNY RD STE 230",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212415",
"telephone_number": "614-321-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENICE",
"middle_name": "E",
"credential": "MSW LSW LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2613349",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.