Active NPI
Kayla Lindsay Johnson
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1144774548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60862713
- Practice address
- 10000 NE 7TH Ave Ste 403
Vancouver, WA 98685-4548 - Phone
- (360) 952-3070
- Fax
- (360) 205-2979
- NPI assigned
- Aug 15, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10029-125 | WI | |
| Professional Counselor | 101YP2500X | 3120-226 | WI | |
| Mental Health Counselor | 101YM0800X | LH60862713 | WA | Primary |
Addresses
Primary practice location
10000 NE 7TH Ave Ste 403
Vancouver, WA 98685-4548
Mailing address
PO Box 548
Ridgefield, WA 98642-0548
Phone (360) 952-3070
Other practice location 1
511 2nd St Ste 12
Hudson, WI 54016-3600
Phone (360) 952-3070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60862713 | WA | MD | Mental Health Counselor |
| 10029-125 | WI | MD | Professional Counselor |
| 3120-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Meadow Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Family Solutions, Inc | Past | Accepting new patients |
Locations
10000 NE 7th Ave
Ste 403
Vancouver, WA 98685
Phone (360) 952-3070
511 2nd St
Ste 12
Hudson, WI 54016
Phone (360) 952-3070
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/family-solutions/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1780061937
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1831258995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1144774548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986420548",
"telephone_number": "360-952-3070",
"fax_number": "360-205-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 NE 7TH AVE STE 403",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986854548",
"telephone_number": "360-952-3070",
"fax_number": "360-205-2979"
}
],
"practiceLocations": [
{
"address_1": "511 2nd St Ste 12",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540163600",
"country_code": "US",
"telephone_number": "360-952-3070",
"fax_number": "360-205-2979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAYLA",
"middle_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10029-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3120-226",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60862713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.