Individual provider Active NPI

Jeanne E Johnson, LCSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1992712608
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
996 Issued in NE
Practice address
127 S. 37TH St.
Suite a
Lincoln, NE 68510-1502
Phone
(402) 476-7557
Fax
(402) 476-9912
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 996 NE Primary

Addresses

Primary practice location

127 S. 37TH St.
Suite a
Lincoln, NE 68510-1502

Mailing address

127 S. 37TH St.
Suite a
Lincoln, NE 68510-1502

Other identifiers 4

IdentifierTypeStateIssuer
48118252626MedicaidNE
83049OtherKSBCBS
83049OtherNEBCBS
037118000OtherNEMAGELLAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609001010 NE Practitioner - Clinical Social Worker 0840233896 Reassigns benefits to 1 organization
Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monarch Counseling PCGroup PAC ID 3678899507, 8 clinicians

Practice addresses (Care Compare)

620 N 48TH St
Suite 202
Lincoln, NE 68504-3466
Phone (402) 489-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling, P.C. CurrentSince Nov 18, 2019 Accepting new patients

Locations

620 N 48th St
Ste 202
Lincoln, NE 68504
Phone (402) 489-6196

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1992712608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S. 37TH ST.",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101502",
            "fax_number": "402-476-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S. 37TH ST.",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101502",
            "telephone_number": "402-476-7557",
            "fax_number": "402-476-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEANNE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48118252626",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83049",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83049",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "037118000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.