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

Jonathan Johnson

Individual provider Mental Health Counselor · NPI 1225301757

Jonathan Johnson is a Physician Assistant in West Lebanon, New Hampshire. Qualified in 2020, 6 years ago. Practices with Patriot Urgent Care Professionals PC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2012
Specialties on file
2

Practice location Address checks out

24 Airport Rd
West Lebanon, NH 03784-1663
Phone: (603) 298-6617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1225301757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2012
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Patriot Urgent Care Professionals Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in West Lebanon