Active NPI
Jessica Johanning
- Behavior Technician
- Elwood, IN
National Provider Identifier
1740062884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-219335
- Practice address
- 2032 S J St
Elwood, IN 46036-2955 - Phone
- (317) 918-2689
- NPI assigned
- Oct 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-219335 | IN | Primary |
Addresses
Primary practice location
2032 S J St
Elwood, IN 46036-2955
Mailing address
7405 Westfield Blvd
Indianapolis, IN 46240-3056
Other practice location 1
2330 S Dixon Rd Ste 350
Kokomo, IN 46902-6430
Phone (765) 789-2564
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 |
|---|---|---|---|
| RBT-22-219335 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Behavioral Solutions LLC | Past | Accepting new patients | |
| Circle City ABA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Lafayette, IN
- NPI 1235676990
-
- Behavior Analyst
- Indianapolis, IN
- NPI 1033663430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1740062884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7405 WESTFIELD BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 S J ST",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460362955",
"telephone_number": "317-918-2689"
}
],
"practiceLocations": [
{
"address_1": "2330 S Dixon Rd Ste 350",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469026430",
"country_code": "US",
"telephone_number": "765-789-2564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHANNING",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-22-219335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.