Jordan Lee Johnson, MA, LPC, LPCC in Stillwater, MN

Jordan Lee Johnson, MA, LPC, LPCC is a medicare enrolled "Counselor - Professional" provider in Stillwater, Minnesota. His current practice location is 6303 Osgood Ave N, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 383-4800.

Jordan Lee Johnson is licensed to practice in Minnesota (license number CC00629) 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 1023346012.

Contact Information

	Jordan Lee Johnson, MA, LPC, LPCC
	6303 Osgood Ave N, Stillwater, MN 55082-6101
	(651) 383-4800
	(651) 383-4801

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Lee Johnson
Gender	Male
Speciality	Counselor - Professional
Location	6303 Osgood Ave N, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023346012
Provider Enumeration Date: 12/02/2009
Last Update Date: 10/03/2013

Medicare PECOS Information:

PECOS PAC ID: 2264882588
Enrollment ID: I20231229000347

Medical Identifiers

Medical identifiers for Jordan Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023346012	NPI	-	NPPES
1023346012	Medicaid	MN
1023346012	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4851-125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	CC00629 (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. Jordan Lee Johnson allows following entities to bill medicare on his behalf.

Entity Name	Lorenz Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081

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. Jordan Lee 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
Jordan Lee Johnson, MA, LPC, LPCC 6303 Osgood Ave N, Stillwater, MN 55082-6101 Ph: (651) 383-4800	Jordan Lee Johnson, MA, LPC, LPCC 6303 Osgood Ave N, Stillwater, MN 55082-6101 Ph: (651) 383-4800

Reviews and Comments

Counselor in Stillwater, MN

Lindsey Rae Sommer, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-351-3102 Fax: 651-351-3155
Steven Daniel Young, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1715 Tower Dr W Ste 100, Stillwater, MN 55082 Phone: 651-390-5001
Carolyn R Wiger, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14949 62nd St N, Stillwater, MN 55082 Phone: 651-430-6460
Ms. Lori Marie Cargen Beckwith, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11400 Julianne Ave N, Stillwater, MN 55082 Phone: 612-454-2406 Fax: 651-426-0419
Kelle Ann Arend, MA, LMFT, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 2nd St N Ste 105, Stillwater, MN 55082 Phone: 651-705-6525
Michael Robert Peterson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 4th St S, Stillwater, MN 55082 Phone: 612-220-6038

Jordan Lee Johnson, MA, LPC, LPCC - Medicare Counselor in Stillwater, MN