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

Jesse Johnson, LPC/MHSP

Individual provider Professional Counselor · NPI 1851618433

Jesse Johnson, LPC/MHSP is a Mental Health Counselor in Jackson, Tennessee. Qualified in 2009, 17 years ago. Practices with Impact Behavioral Counseling LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
17
Licensed in
MS, TN
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

4 Rebel Cv
Jackson, TN 38301-7707
Phone: (731) 234-2165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4913 (TN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0044 (MS)

Record details

NPI number1851618433
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC/MHSP
Sole proprietorYes
NPI enumeratedApril 22, 2010
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address4 Rebel Cv, Jackson, TN 38301-7707

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Impact Behavioral Counseling Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson