| Jesse Johnson, LPC/MHSP | |
|
4 Rebel Cv, Jackson, TN 38301-7707 | |
| (731) 234-2165 | |
| Not Available |
| Full Name | Jesse Johnson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 4 Rebel Cv, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4913 (Tennessee) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0044 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Behavioral Counseling Llc | 1355604836 | 14 |
| Entity Name | Impact Behavioral Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20190404001313 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Johnson, LPC/MHSP 4 Rebel Cv, Jackson, TN 38301-7707 Ph: (731) 234-2165 | Jesse Johnson, LPC/MHSP 4 Rebel Cv, Jackson, TN 38301-7707 Ph: (731) 234-2165 |
Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919 |
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400 |
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297 |
Sarah Holny, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Ellis Dr, Jackson, TN 38301 Phone: 731-225-7869 |
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152 |
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172 |
Dr. Samuel Lee Carney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Executive Dr, Jackson, TN 38305 Phone: 731-426-1820 Fax: 731-426-0675 |