Jaclyn Rachel Johnson, MA, LPCC, LADC in Plymouth, MN

Jaclyn Rachel Johnson, MA, LPCC, LADC is a medicare enrolled "Counselor - Professional" provider in Plymouth, Minnesota. Her current practice location is 4100 Berkshire Ln N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 203-9568.

Jaclyn Rachel Johnson is licensed to practice in Minnesota (license number CC04220) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447912316.

Contact Information

	Jaclyn Rachel Johnson, MA, LPCC, LADC
	4100 Berkshire Ln N, Plymouth, MN 55446-3813
	(763) 203-9568
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Rachel Johnson
Gender	Female
Speciality	Counselor - Professional
Location	4100 Berkshire Ln N, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447912316
Provider Enumeration Date: 10/08/2021
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4587017942
Enrollment ID: I20240201001640

Medical Identifiers

Medical identifiers for Jaclyn Rachel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447912316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	306063 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	CC04220 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Rachel Johnson allows following entities to bill medicare on her behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Rachel Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Rachel Johnson, MA, LPCC, LADC 4100 Berkshire Ln N, Plymouth, MN 55446-3813 Ph: (763) 203-9568	Jaclyn Rachel Johnson, MA, LPCC, LADC 4100 Berkshire Ln N, Plymouth, MN 55446-3813 Ph: (763) 203-9568

Reviews and Comments

Counselor in Plymouth, MN

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Mrs. Melody Joy Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13210 45th Ave North, Plymouth, MN 55442 Phone: 612-616-0224 Fax: 612-616-0224
Sada Kathryn Puckett, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2415 Annapolis Ln N Ste 130, Plymouth, MN 55441 Phone: 763-220-0218

Jaclyn Rachel Johnson, MA, LPCC, LADC - Medicare Counselor in Plymouth, MN