Jacob R Johnson, COUNSELOR, PROF in Glendale, AZ

Jacob R Johnson, COUNSELOR, PROF is a medicare enrolled "Counselor - Professional" provider in Glendale, Arizona. His current practice location is 6151-6153 W. Olive Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 685-6000.

Jacob R Johnson is licensed to practice in Arizona (license number LPC-17622) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184180655.

Contact Information

	Jacob R Johnson, COUNSELOR, PROF
	6151-6153 W. Olive Ave, Glendale, AZ 85302-8530
	(602) 685-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob R Johnson
Gender	Male
Speciality	Counselor - Professional
Location	6151-6153 W. Olive Ave, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184180655
Provider Enumeration Date: 02/20/2019
Last Update Date: 02/20/2019

Medicare PECOS Information:

PECOS PAC ID: 1456796739
Enrollment ID: I20240226003657

Medical Identifiers

Medical identifiers for Jacob R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184180655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-17622 (Arizona)	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. Jacob R Johnson allows following entities to bill medicare on his behalf.

Entity Name	Turnwell Mental Health Of Arizona, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639872518 PECOS PAC ID: 4981063328 Enrollment ID: O20230704000179

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. Jacob R 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
Jacob R Johnson, COUNSELOR, PROF 3003 N Central Ave Ste 200, Phoenix, AZ 85012-2914 Ph: (602) 685-6000	Jacob R Johnson, COUNSELOR, PROF 6151-6153 W. Olive Ave, Glendale, AZ 85302-8530 Ph: (602) 685-6000

Reviews and Comments

Counselor in Glendale, AZ

Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Melissa Quarteroni, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3619 W Michigan Ave, Glendale, AZ 85308 Phone: 602-703-5266
Mr. Michael L Sweeney, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 18555 N 79th Ave Ste B103, Glendale, AZ 85308 Phone: 623-334-9700 Fax: 623-334-9800
Josephine K Pierce, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 W Olive Ave, # 200 & 140, Glendale, AZ 85302 Phone: 602-685-6000 Fax: 602-930-0358
Parveen Bobby Shaik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Mr. Kathy Weeks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22800 N 67th Ave, Glendale, AZ 85310 Phone: 623-376-3060

Jacob R Johnson, COUNSELOR, PROF - Medicare Counselor in Glendale, AZ