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

Jennifer Lynn Johnson-Thomas

Individual provider Case Manager/Care Coordinator · NPI 1205339553

Jennifer Lynn Johnson-Thomas is a Mental Health Counselor in Gulfport, Mississippi. Qualified in 2018, 8 years ago. Practices with Premier Professional Counseling Services, LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

2715 Bullis Ave
Gulfport, MS 39501-5233
Phone: (228) 220-4226
Fax: (228) 220-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1205339553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2018
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Professional Counseling Services, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gulfport