Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jane Pollock Johnson

Individual provider Marriage & Family Therapist · NPI 1093854945

Jane Pollock Johnson is a Marriage and Family Therapist in Otsego, Minnesota. Qualified in 2014, 12 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone: (763) 746-9492
Fax: (763) 746-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 911 Northland Dr, Princeton, MN 55371-2172 — (763) 389-1313

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3386 (MN)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1093854945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESSeptember 11, 2019
Mailing address13403 283rd Ave, Zimmerman, MN 55398-9217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Otsego