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Active NPI 1851618433 Individual Practitioner Male Practitioner

Jesse Johnson , LPC, MHSP

Counselor - Professional • Jackson, TN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jesse Johnson, LPC, MHSP is a certified Counselor - Professional practicing in Jackson, TN. With approximately 17 years of clinical experience since completing medical education in 2009, Jesse Johnson delivers high-quality medical care to the local community at 4 REBEL CV.

Jesse Johnson is affiliated with Impact Behavioral Counseling Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

4 Rebel Cv

Jackson, TN 383017707

Telephone 7312342165

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Jackson, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +3.2 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Jackson, TN (2255 Statewide)

Telehealth Adoption Rate
13.9% 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 (17 Years) 17 Yrs
Jackson Specialty Average (13.8 Years) 13.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TN 4913

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MS 0044

Definition to come...

Hospital & Practice Group Affiliations

Impact Behavioral Counseling Llc

37 Sandstone Cir, Jackson, TN 383052089

Phone: 7312656025

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 04, 2025

Registered at 4 REBEL CV, JACKSON, TN 383017707 (Tel: 7312342165)

📍
Updated Business Mailing Address December 04, 2025

Registered at 4 REBEL CV, JACKSON, TN 383017707 (Tel: 7312342165)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Counselor (License #4913 in TN)

👤
Provider Name / Credentials Updated May 25, 2022

Recorded as JESSE JOHNSON, LPC/MHSP

📍
Updated Practice Location February 10, 2020

Registered at 700 PINHOOK DR, SAVANNAH, TN 383722783 (Tel: 7314383214)

📍
Updated Business Mailing Address February 10, 2020

Registered at 700 PINHOOK DR, SAVANNAH, TN 383722783 (Tel: 7314383214)

👤
Provider Name / Credentials Updated February 10, 2020

Recorded as JESSE JOHNSON, LPC/MHSP (TEMP)

NPI Profile Active April 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2010

Registered at 401 NEW HOPE DR, CORINTH, MS 388347458 (Tel: 6622867199)

📍
Updated Business Mailing Address April 22, 2010

Registered at PO BOX 839, CORINTH, MS 388350839 (Tel: 6622869883)

👤
Provider Name / Credentials Updated April 22, 2010

Recorded as JESSE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2010

Counselor (License #0044 in MS)

🟢
Initial NPI Registration & Enumeration April 22, 2010

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: 1851618433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2010
Last Update: December 04, 2025
Sole Proprietor: Yes

Mailing Address

4 Rebel Cv

Jackson, TN 383017707

Phone: 7312342165

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.