Healthcare Provider Details

I. General information

NPI: 1972842235
Provider Name (Legal Business Name): JENNIFER MORGAN JOHNSON LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WESTFIELD ST
BARNWELL SC
29812-6201
US

IV. Provider business mailing address

916 REYNOLDS RD
BARNWELL SC
29812-6358
US

V. Phone/Fax

Practice location:
  • Phone: 803-398-6732
  • Fax: 803-680-2564
Mailing address:
  • Phone: 803-259-7170
  • Fax: 803-259-2934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6547
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: