Kathleen Anne Johnson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 7109 Issued in FL

Practice address

5440 N State Road 7 Ste 216
Fort Lauderdale, FL 33319-2900

Phone

(305) 490-1778

Fax

(888) 972-1653

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Windy Hill Institute, Inc

  • Community/Behavioral Health Agency
  • Pompano Beach, FL
  • NPI 1649463449
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1205029006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 NW 48TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193636",
            "telephone_number": "305-490-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N STATE ROAD 7 STE 216",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192900",
            "telephone_number": "305-490-1778",
            "fax_number": "888-972-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "Z126B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Areeba Johnson
• Barron Johnson, MD
• Brooke Johnson
• Charlotte Mattea Johnson
• Corie Johnson
• Keneisha Adeni Johnson
• Marcia E Johnson, PHD, LCSW-C
• Pamela Ann Johnson, LCSW, CAP
• Peter Stuart Johnson, MD
• Rae Lynn Johnson, LCSW

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.