| Mrs Jennifer Sue Johnson, MA, LPCC | |
|
3410 Federal Drive, Suite 101, Eagan, MN 55122 | |
| (651) 560-0050 | |
| (651) 925-0257 |
| Full Name | Mrs Jennifer Sue Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3410 Federal Drive, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356993125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPCC3552 (Minnesota) | Primary |
| Entity Name | Threads Of Hope Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194190728 PECOS PAC ID: 5890139620 Enrollment ID: O20240220001536 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Sue Johnson, MA, LPCC 3410 Federal Drive, Suite 101, Eagan, MN 55122 Ph: (651) 560-0050 | Mrs Jennifer Sue Johnson, MA, LPCC 3410 Federal Drive, Suite 101, Eagan, MN 55122 Ph: (651) 560-0050 |
Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897 | |
Matthew Steven Carlson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Katherine Ann Mcguire, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Medicare Enrolled Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 |