Individual provider Active NPI

Jill Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1841073228
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014254A Issued in IN
Practice address
10967 Allisonville Rd Ste 240
Fishers, IN 46038-2634
Phone
(216) 468-5000
NPI assigned
Aug 17, 2023
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014254A IN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 28189036A IN

Addresses

Primary practice location

10967 Allisonville Rd Ste 240
Fishers, IN 46038-2634

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7725

Other practice location 1

1311 W 96th St
Indianapolis, IN 46260-1191
Phone (317) 876-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001911 IN Practitioner - Nurse Practitioner 5193171353 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014254AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatric Center LLC Psychiatric/Mental Health CurrentSince Aug 27, 2023 Accepting new patients
Mending Minds, LLC CurrentSince Oct 10, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Adjust Mental Health, LLC Psychiatric/Mental Health CurrentSince Jan 2, 2024 Accepting new patients

Locations

10100 Lantern Rd
Ste 250
Fishers, IN 46037
Phone (317) 992-1988

1311 W 96th St
Indianapolis, IN 46260
Phone (317) 876-3699

1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707

333 N Alabama St
Indianapolis, IN 46204
Phone (323) 205-0181

702 W Alto Rd
Kokomo, IN 46902
Phone (765) 453-7422

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1841073228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 240",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382634",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 W 96th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601191",
            "country_code": "US",
            "telephone_number": "317-876-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JILL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014254A",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28189036A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.