Organization Active NPI

Johnson Counseling LLC

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1689102204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252186 Issued in KY
Legal business name
JOHNSON COUNSELING LLC
Practice address
996 Wilkinson Trce Ste A9
Bowling Green, KY 42103-3408
Phone
(270) 784-0724
Fax
(270) 904-1073
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer Johnson, LCSWNPI 1659786036
Title
Owner
Phone
(270) 784-0724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 252186 KY Primary

Addresses

Primary practice location

996 Wilkinson Trce Ste A9
Bowling Green, KY 42103-3408

Mailing address

996 Wilkinson Trce Ste A9
Bowling Green, KY 42103-3408
Phone (270) 784-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170609001923 KY Part B Supplier - Clinic/Group Practice 7618245952 Receives reassigned benefits from 1 practitioner
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689102204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TRCE STE A9",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033408",
            "telephone_number": "270-784-0724",
            "fax_number": "270-904-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TRCE STE A9",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033408",
            "telephone_number": "270-784-0724",
            "fax_number": "270-904-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-784-0724",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.