Michael Jason Johnson
Counselor, Mental Health in Bend, OR. Individual provider (NPI-1).
NPI number1093635898
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1093635898
- Entity type
- Individual (NPI-1)
- Name
- Michael Jason Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2026
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | OR | Yes |
Other names
- Jay Johnson (Professional Name)
Practice location
373 Ne Greenwood AveBend, OR 97701-4605
Phone 541-321-8989
Mailing address
373 Ne Greenwood AveBend, OR 97701-4605
Phone 541-321-8989
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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