MEDICARE: JILLIAN M JOHNSON LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	E.2505120	OH
2	101YP2500X	Professional Counselor	C.2103077	OH
3	101YP2500X	Professional Counselor	E.2505120	OH

General Provider Information

NPI Number	:	1164011466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN M JOHNSON LPCC

Provider Business Mailing Address
First Line	:	527 N MERIDIAN RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-1227
Country	:	US
Telephone Number	:	330-797-0070
Fax Number	:	330-797-9146

Provider Business Practice Location Address
First Line	:	4771 WASHINGTON AVE
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-9631
Country	:	US
Telephone Number	:	330-399-6451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	05/27/2026

Similar Medicare Providers

1891947875 — PATHS TO INDEPENDENCE, INC.
Practice Location Address:

4771 WASHINGTON AVE
RAVENNA, OH
44266-9631

Practice Phone: 330-296-2851
Practice Fax: 330-296-8631

1821566217 — MR. DARNELL JULIUS HOWARD SR. CDCA
Practice Location Address:

4771 WASHINGTON AVE
RAVENNA, OH
44266-9631

Practice Phone: 330-399-6451
Practice Fax: 330-394-6029

1013518281 — THOMAS JOSEPH MARACZ CDCA
Practice Location Address:

4771 WASHINGTON AVE
RAVENNA, OH
44266-9631

Practice Phone: 330-296-2384
Practice Fax: 330-296-2466

1508753716 — MR. WILLIE JONES
Practice Location Address:

4771 WASHINGTON AVE
RAVENNA, OH
44266-9631

Practice Phone: 330-296-2384
Practice Fax: 330-296-2466

1578494514 — CHINESE RIKETTA JADE BROWN PMHNP
Practice Location Address:

3920 LOVERS LN
RAVENNA, OH
44266-4200

Practice Phone: 330-673-1347
Practice Fax:

1710818604 — BARBARA REIHELD RN
Practice Location Address:

3839 SANDY LAKE RD
RAVENNA, OH
44266-8625

Practice Phone: 330-703-0294
Practice Fax:

Directions to “ JILLIAN M JOHNSON LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.