Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194380576 Individual Practitioner Female Practitioner

Jacquelyn L Johnson , MS, CGC

Genetic Counselor, MS • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Jacquelyn Johnson, MS, CGC is a registered healthcare professional specializing in Genetic Counselor, MS in Bloomington, IL. Practice services are available at 2200 E WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 E Washington St

Bloomington, IL 617014364

Telephone 3096654849
Associated Practice Facility / Clinic
🏢 Bestpractices Of Illinois Pc Facility NPI 1760439517

Specialty Benchmarks & Practice Insights

Comparative analytics for Genetic Counselor, MS in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bloomington, IL (272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-05
Genetic Counselor, MS Primary Specialty

NUCC Taxonomy Code: 170300000X

State License IL 246000255

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Krista Bajjalieh , OTR, L

Occupational Therapist

NPI 1013265040

Occupational Therapist Registered, L

Dr. Crystal Lamont , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013726363

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Richard Sabbun , MD

Emergency Medicine - Emergency Medical Services

NPI 1023045606

Doctor of Medicine (M.D.)

Bailey Wilson

Occupational Therapist

NPI 1063040004
NPI 1073632527

Registered Pharmacist

NPI 1073738217

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 05, 2021

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364 (Tel: 3096654849)

📍
Updated Business Mailing Address October 05, 2021

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364

👤
Provider Name / Credentials Updated October 05, 2021

Recorded as JACQUELYN JOHNSON, MS, CGC

NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2019

Registered at 611 W PARK ST, URBANA, IL 618012529 (Tel: 2173833088)

📍
Updated Business Mailing Address May 01, 2019

Registered at 611 W PARK ST, URBANA, IL 618012529

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as JACQUELYN JOHNSON, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Genetic Counselor, MS (License #246000255 in IL)

🟢
Initial NPI Registration & Enumeration May 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194380576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2019
Last Update: October 05, 2021
Sole Proprietor: No

Mailing Address

2200 E Washington St

Bloomington, IL 617014364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.