Kelly-Johnson Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLY-JOHNSON COUNSELING, LLC

Practice address

3802 Ehrlich Rd Ste 304
Tampa, FL 33624-2355

Phone

(813) 765-9678

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Juliet Marie Johnson, LCSWNPI 1396996096

Title

Licensed Clinical Social Worker

Phone

(813) 765-9678

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliet Marie Johnson, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1396996096
  NPD (past) Authorized official

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1073753380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 EHRLICH RD, SUITE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "813-765-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 EHRLICH RD STE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242355",
            "telephone_number": "813-765-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY-JOHNSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "813-765-9678",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR JULIET M. JOHNSON, LCSW: 1396996096",
            "identifier": "1396996096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Care Homemaker and Companion Services
• George Kellner, MD
• Christine Claire Kellogg, P.T., D.O.M.
• Erica Abanil Kellogg, APRN
• Rachel Ann Kelly Escobar
• Alexis G Kelly, MS, RD, LDN
• Alison Kelly
• Amanda M Kelly, PA-C
• Asia Kelly
• Brian Richard Kelly, PA-C

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.