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Active NPI 1528549284 Individual Practitioner Male Practitioner

Jesse Taylor Johnson , MS, LPCC, NCC

Counselor - Professional • Cambridge, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jesse Johnson, MS, LPCC, NCC is a certified Counselor - Professional practicing in Cambridge, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Jesse Johnson delivers high-quality medical care to the local community at 817 MAIN ST N.

Jesse Johnson is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

817 Main St N

Cambridge, MN 550081275

Telephone 7633250300

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Cambridge, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Cambridge, MN (2422 Statewide)

Telehealth Adoption Rate
23.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (8 Years) 8 Yrs
Cambridge Specialty Average (11.8 Years) 11.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Hospital & Practice Group Affiliations

Nystrom And Associates Ltd

817 Main St N, Cambridge, MN 550081275

Phone: 7633250300

Secondary Practice Locations

8670 210th St W

Lakeville, MN 550447000

Phone: 8004381772

Practice Associates & Co-Workers

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

14 Associated Practitioners
Hannah Schott , MSW, LICSW

Social Worker - Clinical

NPI 1073182259

Master of Social Work, Licensed Independent Clinical Social Worker

Emily Mcgonigle , LMFT

Marriage & Family Therapist

NPI 1114296613

Licensed Marriage and Family Therapist

Dr. Richard Blackburn , PhD

Psychologist - Clinical

NPI 1134293400

Doctor of Philosophy (Ph.D.)

Megan Foster , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1265038384

Licensed Alcohol and Drug Counselor

Megan Paul , BS, MA

Counselor - Professional

NPI 1316723372

Bachelor of Science, Master of Arts

Sarah Fletcher , LGSW

Social Worker - Clinical

NPI 1336847805

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 06, 2021

Registered at 817 MAIN ST N, CAMBRIDGE, MN 550081275 (Tel: 7633250300)

👤
Provider Name / Credentials Updated April 06, 2021

Recorded as JESSE JOHNSON, MS, LPCC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Counselor

📍
Updated Practice Location April 03, 2020

Registered at 1900 SILVER LAKE RD, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Business Mailing Address April 03, 2020

Registered at 1900 SILVER LAKE RD, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated April 03, 2020

Recorded as JESSE JOHNSON, MS, LPC, NCC

📍
Updated Practice Location October 16, 2019

Registered at 8670 210TH ST W, LAKEVILLE, MN 550447000 (Tel: 8004381772)

👤
Provider Name / Credentials Updated May 13, 2019

Recorded as JESSE JOHNSON, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2019

Counselor (License #2295 in MN)

NPI Profile Active August 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2018

Registered at 16233 KENYON AVE, LAKEVILLE, MN 550444754 (Tel: 8004381772)

📍
Updated Business Mailing Address August 22, 2018

Registered at W175N11120 STONEWOOD DR, GERMANTOWN, WI 530226511 (Tel: 8886859522)

👤
Provider Name / Credentials Updated August 22, 2018

Recorded as JESSE JOHNSON, MS, LPC-IT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2018

Counselor

🟢
Initial NPI Registration & Enumeration August 22, 2018

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: 1528549284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2018
Last Update: April 06, 2021
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd

New Brighton, MN 551121786

Phone: 6516289566

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.