Kelly Elizabeth Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

17505 N 79TH Ave Ste 311Gandc
Glendale, AZ 85308-8725

Phone

(602) 876-2029

NPI assigned

Nov 8, 2025

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

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

{
    "created_epoch": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1063382679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19865 W MONTEROSA ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405603",
            "telephone_number": "623-876-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 311GANDC",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "602-876-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W Johnson, PSY.D.
• Erik Johnson, OTR/L
• Kaitlyn Johnson
• Katherine Johnson, PHARM D
• Kelly Johnson, LCSW
• Kendi Johnson, RBT
• Kenra Earline Johnson, FNP-C
• Kjerstin Johnson
• Kwamaine Johnson
• Lauren Mary Johnson, ATC, LAT, ARRT (MRI)

• Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.