Jacquelin Johnson, RSPS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12830721 Issued in TX

Practice address

2206 Quail Hollow Dr
Bryan, TX 77802-2919

Phone

(512) 939-4843

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqulin Shelby Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1992477004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 QUAIL HOLLOW DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 QUAIL HOLLOW DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022919",
            "telephone_number": "512-939-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACQUELIN",
        "credential": "RSPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "12830721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQULIN",
            "last_name": "SHELBY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Johnson
• Drew A Johnson, D.C.
• Eva Patrice Johnson, MD
• Gary Alan Johnson, P.T.
• Jacob Aaron Johnson, MSN, FNP-C
• Jo Johnson
• John Albert Johnson Jr., D.D.S.
• Joycelyn Johnson
• Paul Arthur Johnson, M.A., LPC
• Rachel Michelle Johnson

• Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.