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Jesse Johnson , LPC, MHSP

Counselor - Professional β€’ Jackson, TN

Active NPI 1851618433 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4 Rebel Cv
Jackson, TN 383017707

Call 7312342165 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4 Rebel Cv

Jackson, TN 383017707

Telephone 7312342165
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Impact Behavioral Counseling Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2009

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jesse Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jesse Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Tennessee

35 active clinicians are listed under Counselor - Professional with a practice address in Jackson, TN (2,205 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

14.3% of these 35 clinicians have the CMS telehealth indicator.

25.7% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TN 4913
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES MS 0044
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260114003129

Enrollment State Jurisdiction

TN

PECOS Control ID

5597149633

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Impact Behavioral Counseling Llc

37 Sandstone Cir, Jackson, TN 383052089

Phone: 7312656025

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location December 04, 2025

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

πŸ“
Updated Business Mailing Address December 04, 2025

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

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

Counselor (license number reported to NPPES: TN 4913)

πŸ‘€
Provider Name / Credentials Updated May 25, 2022

Recorded as JESSE JOHNSON, LPC/MHSP

πŸ“
Updated Practice Location February 10, 2020

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

πŸ“
Updated Business Mailing Address February 10, 2020

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

πŸ‘€
Provider Name / Credentials Updated February 10, 2020

Recorded as JESSE JOHNSON, LPC/MHSP (TEMP)

βœ…
NPI Profile Active April 22, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2010

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

πŸ“
Business Mailing Address (Initial Record) April 22, 2010

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

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2010

Recorded as JESSE JOHNSON

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

Counselor (license number reported to NPPES: MS 0044)

🟒
Initial NPI Registration & Enumeration April 22, 2010

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.