Jacqualine Tia Johnson
Jacqualine Tia Johnson is a Mental Health Counselor provider (Counselor) practicing in Lodi, CA, registered in the NPPES registry with NPI 1477066520 since 2017.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477066520 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jacqualine Tia Johnson |
| Sex | Female |
| Practice address | 1209 W TOKAY ST STE 5, Lodi, CA, 95240 |
| Phone | 2093312070 |
| Enumeration date | 2017-11-13 |
| Last updated in NPPES | 2017-11-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Primary | — | — |
Copy-ready billing details
Provider: Jacqualine Johnson NPI: 1477066520 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 1209 W TOKAY ST STE 5, Lodi, CA, 95240
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780351098 | Nichole Phillips | Individual | Community Health Worker | Lodi, CA |
Verify this record
Cross-check NPI 1477066520 against the authoritative CMS record: view Jacqualine Tia Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1477066520 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-11-13.