Active NPI
Kassandra Lee Johnston
- Mental Health Counselor
- Akron, OH
National Provider Identifier
1083121420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2404591
- Practice address
- 733 W Market St Ste 103
Akron, OH 44303-1088 - Phone
- (216) 361-9870
- NPI assigned
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2404591 | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162035 |
Addresses
Primary practice location
733 W Market St Ste 103
Akron, OH 44303-1088
Mailing address
2570 8TH Street
Cuyahoga Falls, OH 44221
Phone (330) 984-8205
Other names 1
- Kassandra Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1083121420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 8TH STREET",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "44221",
"telephone_number": "330-984-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W MARKET ST STE 103",
"city": "AKRON",
"state": "OH",
"postal_code": "443031088",
"telephone_number": "216-361-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KASSANDRA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "E.2404591",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "LICDC.162035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASSANDRA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.