JESSICA RAE JOHNSON LPCC NCC NPI 1245783760

NPI Information

  • NPI: 1245783760
  • Provider Name: JESSICA RAE JOHNSON, LPCC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5701 CARMEL AVE NE STE B
    ALBUQUERQUE, NM
    ZIP 87113
  • Phone: (505) 308-5226

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NPI Details

Jessica Rae Johnson, LPCC, NCC is a mental health counselor in Albuquerque, NM. Jessica Rae Johnson, LPCC, NCC NPI is 1245783760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5701 CARMEL AVE NE STE B
ALBUQUERQUE, NM
ZIP 87113-843
Phone: (505) 308-5226
Fax: (505) 514-0754

The NPI 1245783760 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 8/2/2016 and was last updated on 11/24/2025.

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
1101YM0800XCounselorMental Health0201921NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
163238730MEDICAIDNEW MEXICO

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

NPI Synchronization or Removal

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