Jacob Ryne Johnson, COUNSELOR, PROF
Professional Counselor · Phoenix, AZ
Jacob Ryne Johnson, COUNSELOR, PROF is a professional counselor with a practice address in Phoenix, Arizona, and NPI 1184180655, issued on Feb 20, 2019. Check the license (Arizona LPC-17622, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Ryne Johnson
- Credential
- COUNSELOR, PROF
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- LPC-17622 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 16601 N 40TH St Ste 216, Phoenix, AZ 85032
- Phone
- (623) 469-0606
- Enumerated
- Feb 20, 2019
- Record last updated
- Dec 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20240226003657); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 16601 N 40TH St Ste 216
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Gina Feletar, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1730059676
- Mordechai Gottlieb, LMSWClinical Social Worker1265034318
- Heather Harvey, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1457930794
- Shawnta McDonaldProfessional Counselor1245954882
Verify Jacob Ryne Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license LPC-17622Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Phoenix Therapists Hub LLCPhoenix, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
739 professional counselor records list a practice address in Phoenix
They are 739 of the 31,399 NPPES records with a practice address in Phoenix, and 2,960 professional counselor records in Arizona.
All 739 in Phoenix → All 2,960 in Arizona → Every provider in Phoenix →
Other professional counselor records in Arizona
- Andrea Abad, LPCPrescott Valley, AZ1154668259
- Jaena Abarzua, MC, LPC/LMHCScottsdale, AZ1316405939
- Iman Abdullah, LPCTempe, AZ1366782914
- Michael AbellPhoenix, AZ1417474982
- Adam AbramovitchTempe, AZ1477806412
- Aseel Abushaar, MA, MSC, LPCTucson, AZ1841183696
- Robin Acereto, LPCTucson, AZ1609373026
- Lucila Aceves, LPCAvondale, AZ1922621564
- Stephane Ackermann, LPCTucson, AZ1093357253
- Jemeille Ackourey, LPCPhoenix, AZ1285830463
Common questions
What is Jacob Ryne Johnson, COUNSELOR, PROF's NPI number?
Jacob Ryne Johnson, COUNSELOR, PROF's National Provider Identifier (NPI) is 1184180655, issued on Feb 20, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Ryne Johnson, COUNSELOR, PROF located?
The NPPES record lists a practice address at 16601 N 40TH St Ste 216, Phoenix, AZ, 85032. Phone: (623) 469-0606. Providers update this record themselves, so call before visiting.
How can I verify Jacob Ryne Johnson, COUNSELOR, PROF's license?
NPPES lists Arizona license number LPC-17622, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.