Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Rachel Johnson, MA, LPCC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447912316

Jaclyn Rachel Johnson, MA, LPCC, LADC is an Addiction (Substance Use Disorder) Counselor in Plymouth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

4100 Berkshire Ln N
Plymouth, MN 55446-3813
Phone: (763) 203-9568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7430 Wentworth Ave, Richfield, MN 55423-4133 — (612) 488-0040

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC04220 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306063 (MN)

Record details

NPI number1447912316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , LADC
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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