Kathie Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005084 Issued in OH

Practice address

3770 N High St
Columbus, OH 43214-3525

Phone

(614) 294-7117

Fax

(614) 294-7443

NPI assigned

May 17, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center of Vocational Alternatives for Mental Health, Inc.

  • Public Health or Welfare Agency
  • Columbus, OH
  • NPI 1275589947
  NPD (past)
• Southeast, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1932169497
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1013766252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143525",
            "telephone_number": "614-294-7117",
            "fax_number": "614-294-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143525",
            "telephone_number": "614-294-7117",
            "fax_number": "614-294-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kay Johnson, RN
• Kai Conrad Cecil Johnson, MD
• Kara Elyse Johnson
• Karen Johnson
• Katelyn Johnson, DO
• Kathleen Ann Johnson, CRNP
• Katie M. Johnson, APRN-CNP
• Katrina Feustel Johnson, MD
• Kelly Johnson, COUNSELOR
• Kelsey Johnson

• Peer Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.