Keely D Johnson PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KEELY D JOHNSON PLLC

Practice address

3936 Cherry Tree Dr
Schertz, TX 78108-2309

Phone

(210) 419-2044

NPI assigned

Jan 2, 2025

Last updated

Jul 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Keely Dyane Johnson, LPCSNPI 1679913891

Title

Counselor

Phone

(210) 419-2044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keely Dyane Johnson, NCC,LPC

  • Professional Counselor
  • San Marcos, TX
  • NPI 1679913891
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1083423172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 CHERRY TREE DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082309",
            "telephone_number": "210-419-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 CHERRY TREE DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082309",
            "telephone_number": "210-419-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELY D JOHNSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "DYANE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "210-419-2044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Schertz, TX
• Providers in Schertz, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.