JACOB RYNE JOHNSON COUNSELOR PROF NPI 1184180655

NPI Information

  • NPI: 1184180655
  • Provider Name: JACOB RYNE JOHNSON, COUNSELOR, PROF
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16601 N 40TH ST STE 216
    PHOENIX, AZ
    ZIP 85032
  • Phone: (623) 469-0606

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NPI Details

Jacob Ryne Johnson, COUNSELOR, PROF is a professional counselor in Phoenix, AZ with 11 years of experience. Jacob Ryne Johnson, COUNSELOR, PROF NPI is 1184180655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16601 N 40TH ST STE 216
PHOENIX, AZ
ZIP 85032-354
Phone: (623) 469-0606

The NPI 1184180655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 12/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC-17622ARIZONAYes
2101Y00000XCounselorLPC-17622ARIZONANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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