Jeffrey Lynn Johnston, PH.D., LCSW, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001582 Issued in MO

Practice address

1221 N Kingshighway St
Imperial Building
Cape Girardeau, MO 63701-3506

Phone

(573) 335-7929

Fax

(573) 335-6445

NPI assigned

Nov 9, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Counseling Services, Inc.

  • Clinical Social Worker
  • Cape Girardeau, MO
  • NPI 1104996750

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972673556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020645",
            "telephone_number": "573-335-7929",
            "fax_number": "573-335-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N KINGSHIGHWAY ST",
            "address_2": "IMPERIAL BUILDING",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013506",
            "telephone_number": "573-335-7929",
            "fax_number": "573-335-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001582",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2030308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "111071",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10852003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnson, MS, RD, LDN
• Lorilea Johnson, APRN
• Nancy K Johnson, FNP
• Shalanda Johnson
• Yienvi Johnson
• Kristy Johnston
• Paula M Johnston, LPC
• Tricia Renea Johnston, MSN, RN, APRN, FNP-C
• Adrienne Lee Jones-Adamczyk, N.P.
• Katherine Louise Jones-Grady, D.O.

• Professional Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.