| Jeannie Johnson, MS, LCPC, CADC | |
|
106 Edwards St, Newton, IL 62448-1736 | |
| (618) 783-4154 | |
| (618) 783-2339 |
| Full Name | Jeannie Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 106 Edwards St, Newton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861715963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22063 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180-006606 (Illinois) | Primary |
| Entity Name | County Of Jasper |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073782579 PECOS PAC ID: 6901904796 Enrollment ID: O20070601000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie Johnson, MS, LCPC, CADC 106 Edwards St, Newton, IL 62448-1736 Ph: (618) 783-4154 | Jeannie Johnson, MS, LCPC, CADC 106 Edwards St, Newton, IL 62448-1736 Ph: (618) 783-4154 |
Jamee Matson, RN, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 Fax: 618-783-2339 | |
Emily N Westfall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 | |
Kristin Koerner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 Fax: 618-783-2339 | |
Jessica Hougham, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 Fax: 618-783-2339 | |
Amy Deel-hout, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 Fax: 618-783-2339 | |
Janelle R Williams, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 Fax: 618-783-2339 | |
Ashton Beaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Edwards St, Newton, IL 62448 Phone: 618-783-4154 |