Active NPI
Jody A. Johnson, LCSW
- Clinical Social Worker
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1338
- Practice address
- 308 N Locust St
Grand Island, NE 68801-5969 - Phone
- (402) 225-6360
- NPI assigned
- Jul 11, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8325 | NE | |
| Clinical Social Worker | 1041C0700X | 1338 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 2166 | NE | |
| Clinical Social Worker | 1041C0700X | 111283 | IA | |
| Mental Health Counselor | 101YM0800X | 1238 | NE | |
| Mental Health Counselor | 101YM0800X | 111283 | IA |
Addresses
Primary practice location
308 N Locust St
Grand Island, NE 68801-5969
Mailing address
308 N Locust St
Grand Island, NE 68801-5969
Phone (402) 225-6360
Other practice location 1
2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone (308) 382-5297 ext. 10
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025173100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
308 N Locust St
Suite 401
Grand Island, NE 68801-5901
Phone (402) 225-6360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8325 | NE | MD | Mental Health Counselor |
| 111283 | IA | MD | Clinical Social Worker |
| 1238 | NE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Lifespan Therapy, LLC | Clinical | Current | Accepting new patients |
| Wholeness Healing Center PC | Mental Health | Current | Accepting new patients |
Locations
2608 Old Fair Rd
Grand Island, NE 68803
Phone (308) 382-5297
308 N Locust St
Ste 401
Grand Island, NE 68801
Phone (402) 225-6360
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Grand Island, NE
- NPI 1396331781
-
- Mental Health Counselor
- Grand Island, NE
- NPI 1124130364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1760680797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015969",
"telephone_number": "402-225-6360",
"fax_number": "402-988-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N LOCUST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015969",
"telephone_number": "402-225-6360"
}
],
"practiceLocations": [
{
"address_1": "2608 Old Fair Rd",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688035271",
"country_code": "US",
"telephone_number": "308-382-5297 x10",
"fax_number": "308-382-5315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JODY",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8325",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1338",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2166",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "111283",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1238",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "111283",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025173100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.