Kelsey Kay Johnson, RDN, LMCHA, CEDS, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60408150 Issued in WA

Practice address

413 29TH St NE Ste F
Puyallup, WA 98372-7050

Phone

(253) 234-7931

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ash and Birch Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Puyallup, WA
  • NPI 1376390534
  NPD

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1083022354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 29TH ST NE STE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727050",
            "telephone_number": "253-234-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 29TH ST NE STE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727050",
            "telephone_number": "253-234-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "middle_name": "KAY",
        "credential": "RDN, LMCHA, CEDS, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61605096",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86007053",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60408150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Johnson, O.D.
• Holly N Johnson, M.D.
• James Johnson
• Jennifer Johnson
• Jessica Lindsey Johnson, DPT
• Laura Dae Johnson, BS
• Lynda M Johnson, O.T.
• Marissa Johnson, MOT, OTR/L
• Mark J Johnson
• Mary Ellen Johnson, M.A.

• Registered Dietitian in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.