Janee Johnson, M.S. CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4492 Issued in OR

Practice address

5227 SE Malden St
Portland, OR 97206-9058

Phone

(772) 528-7549

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• River Region Human Services Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1568507853
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1679911218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 SE MALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069058",
            "telephone_number": "772-528-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 SE MALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069058",
            "telephone_number": "772-528-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Park St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042342",
            "country_code": "US",
            "telephone_number": "904-899-6300 x4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANEE",
        "credential": "M.S. CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5744",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH9154",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacinta Anne Johnson, CNA
• Jackie Johnson
• Jalane Johnson, BS
• James (Jim) Charles Johnson, PH.D.
• James C Johnson, MD
• Janice Lynne Johnson
• Jason Alan Johnson, PSY.D.
• Jason Lee Johnson, MASSAGE THERAPIST
• Jeanne Pauly Johnson, M.D.
• Jeff Johnson

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.