| Jessica Rae Johnson, LPCC, NCC | |
| 
					5701 Carmel Ave Ne Ste B, Albuquerque, NM 87113-2843  | |
| (505) 308-5226 | |
| (505) 514-0754 | 
| Full Name | Jessica Rae Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 5701 Carmel Ave Ne Ste B, Albuquerque, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245783760 | NPI | - | NPPES | 
| 63238730 | Medicaid | NM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0201921 (New Mexico) | Primary | 
| Entity Name | 32 Degrees Genuine, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255896353 PECOS PAC ID: 4183060981 Enrollment ID: O20240315000721  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Rae Johnson, LPCC, NCC 101 Cynthia Loop Nw, Albuquerque, NM 87114-2414 Ph: (505) 595-6622  | Jessica Rae Johnson, LPCC, NCC 5701 Carmel Ave Ne Ste B, Albuquerque, NM 87113-2843 Ph: (505) 308-5226  | 
Ms. Lori M Ortiz, M.A. LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Of Nm Bldg73, Msc-06-3870, Albuquerque, NM 87131 Phone: 505-277-3136 Fax: 505-277-2020  | |
Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471  | |
Mrs. Shelley Sue Stisser, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946  | |
Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471  | |
Ms. Ramona Floyd,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471  | |
Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473  | |
Julie Marie Raborn,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503  |