Jennifer Karin Anne Johnson, LPC
Counselor, Professional in South Windsor, CT. Individual provider (NPI-1).
NPI number1033570684
StatusActive
Last updated in NPPESMar 10, 2016
Details
- NPI
- 1033570684
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Karin Anne Johnson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2016
- Last updated
- Mar 10, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2906 | CT | Yes |
Practice location
475 Buckland RdSouth Windsor, CT 06074-3738
Phone 860-967-7435
Mailing address
475 Buckland RdSouth Windsor, CT 06074-3738
Phone 860-967-7435
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