NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184180655
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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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.

  1. Elka Cubacub, MSWClinical Social Worker1164100194
  2. Joshua Edgerly, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1528870979
  3. Gina Feletar, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1730059676
  4. Mordechai Gottlieb, LMSWClinical Social Worker1265034318
  5. Heather Harvey, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1457930794
  6. Shawnta McDonaldProfessional Counselor1245954882

Verify Jacob Ryne Johnson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license LPC-17622
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Phoenix Therapists Hub LLCPhoenix, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Ryne Johnson among 2,960 professional counselor records in Arizona

Jacob Ryne Johnson, COUNSELOR, PROF is one of 2,960 professional counselor records with a practice address in Arizona. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 56% of them.

  • NPI issued2019 · 56% of these records are older, 37% newer
  • In a Medicare fileYes · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 17% of these records are
  • Graduated2015 · median 2015 among the 497 with a school on file
  • Record last updated2025 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (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.

The 8 professional counselor records with the nearest ZIP codes

  1. Jessica Brubaker, LPCPhoenix, AZ 850321346718376
  2. Elizabeth Felix, LPC, LASACPhoenix, AZ 850321952896011
  3. Chanda Gonzales, LISAC, LPCPhoenix, AZ 850321831406388
  4. Walter Long, L.P.C.Phoenix, AZ 850321801120951
  5. Raleisa Parker, LPCPhoenix, AZ 850321760029979
  6. Benjamin PedrazaPhoenix, AZ 850321902429418
  7. Brielle Rawlings-Dube, LPC, NCCPhoenix, AZ 850321144605668
  8. Susan Rawls, MS, LPCPhoenix, AZ 850321982862223

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.