Kathryn Johnson

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KATHRYN JOHNSON

Practice address

4400 N Highway 19a
Suite 4
Mount Dora, FL 32757-2032

Phone

(352) 988-4181

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Johnson, LCSW

Title

Psychosocial Clinician II

Phone

(352) 988-4181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114005667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094289",
            "telephone_number": "407-895-4100",
            "fax_number": "407-422-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A",
            "address_2": "SUITE 4",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572032",
            "telephone_number": "352-988-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PSYCHOSOCIAL CLINICIAN II",
        "authorized_official_telephone_number": "352-988-4181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "SW 6550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Karam
• Tasneem Karar
• Kim P Karvasale, DMD
• Amer Kassas, APRN
• Katherine Blackwell, LCSW - Life Services
• Kellie Lynne Keene
• Peggy A Keene, RN, MA, LMHC
• Kelti Keister, M.A., BCBA, LBA
• Joanne M Keller, ARNP
• Zerleene Kellum

• Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.