Individual provider · Type 1 NPI
Jessica Johnson, MA, LPCC
Professional Counselor · Ham Lake, MN
NPI number
1134070139
Active
Practice location
18015 Ulysses St NE Ste 400
Ham Lake, MN 55304-4896
Mailing address
14512 Jonquil St NW
Andover, MN 55304-3261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5415 (MN) |
Professional Counselor: Definition to come...
About NPI 1134070139
Jessica Johnson, MA, LPCC's National Provider Identifier is 1134070139, issued on Feb 5, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ham Lake, MN. The record was last updated on Feb 5, 2026.