Individual provider Active NPI

Kathryn Johnson, L.L.P.C.

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1124565056
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015859 Issued in MI
Practice address
4282 N Quail Canyon Dr
Tucson, AZ 85750-6917
Phone
(520) 612-0466
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015859 MI Primary

Addresses

Primary practice location

4282 N Quail Canyon Dr
Tucson, AZ 85750-6917

Mailing address

555 Towner St
Ypsilanti, MI 48198-5752
Phone (734) 544-3000

Other practice location 1

2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552
Phone (734) 544-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415003564 AZ Practitioner - Mental Health Counselor 4880119502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remind Health LLCGroup PAC ID 3274907175, 29 clinicians

Practice addresses (Care Compare)

Tucson, AZ 85750
Phone (520) 612-0466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015859MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Remind Health LLC CurrentSince Apr 7, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1124565056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985752",
            "telephone_number": "734-544-3000",
            "fax_number": "734-544-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 N QUAIL CANYON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506917",
            "telephone_number": "520-612-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 E Ellsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082552",
            "country_code": "US",
            "telephone_number": "734-544-3000",
            "fax_number": "734-544-6732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHRYN",
        "credential": "L.L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.