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

Paige Johnston, PPC

Individual provider Mental Health Counselor · NPI 1124712294

Paige Johnston, PPC is a Mental Health Counselor in Jackson, Wyoming. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
3
Licensed in
WY
In the registry since
2023
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Practice location Address checks out

140 E Broadway Ave Ste B-13
Jackson, WY 83001-8632
Phone: (307) 413-8393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PPC-1390 (WY)

Record details

NPI number1124712294
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPC
Sole proprietorYes
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address1200 Melody Creek Ln, Jackson, WY 83001-8982

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson