Active NPI
Kaitlind Elizabeth Johnson, LCSW
- Clinical Social Worker
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8709-C
- Practice address
- 580 W 5TH St
Reno, NV 89503-4407 - Phone
- (775) 786-4673
- Fax
- (775) 326-2958
- NPI assigned
- Nov 25, 2019
- Last updated
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8709-C | NV | Primary |
Addresses
Primary practice location
580 W 5TH St
Reno, NV 89503-4407
Mailing address
580 W 5TH St
Reno, NV 89503-4407
Phone (775) 786-4673
Other practice location 1
458 Court St Ste 106
Reno, NV 89501-1709
Phone (775) 453-6841
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbecker@nnhopes.org | Direct | |
| Direct Messaging Address | k.johnson775@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8709-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentry Integrated Sleep and Wellness PLLC | Current | Accepting new patients | |
| Headway California Behavioral Health Services, P.C. | Current | Accepting new patients | |
| Flourish Nevada Counseling and Wellness PLLC | Clinical | Current | Accepting new patients |
| Northern Nevada HIV Outpatient Program, Education and Services | Current | Accepting new patients | |
| Northern Nevada HIV Outpatient Program, Education and Services | Current | Accepting new patients |
Locations
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
10631 Professional Cir
Ste A
Reno, NV 89521
Phone (775) 826-6218
458 Court St
Ste 106
Reno, NV 89501
Phone (775) 453-6841
580 W 5th St
Reno, NV 89503
Phone (775) 786-4673
205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095
Interoperability endpoints
- kaitlind.becker@nnhopes.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1154744738
-
dba Northern Nevada HOPES
- Specialist
- Reno, NV
- NPI 1992709976
-
- Psychiatry Physician
- New York, NY
- NPI 1174292866
NV
-
dba Flourish Nevada
- Clinical Social Worker
- Reno, NV
- NPI 1508550666
-
dba Northern Nevada Hopes
- Federally Qualified Health Center (FQHC)
- Reno, NV
- NPI 1659792810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1043856198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W 5TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034407",
"telephone_number": "775-786-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W 5TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034407",
"telephone_number": "775-786-4673",
"fax_number": "775-326-2958"
}
],
"practiceLocations": [
{
"address_1": "458 Court St Ste 106",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895011709",
"country_code": "US",
"telephone_number": "775-453-6841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAITLIND",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "8709-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbecker@nnhopes.org",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "580 W 5th St",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895034407",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "k.johnson775@outlook.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "458 Court St Ste 106",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895011709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.