Kelly C. Johnson LCSW, P.L.L.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KELLY C. JOHNSON LCSW, P.L.L.C.

Doing business as

A New Chapter Counseling Services

Practice address

2530 Meridian Parkway
Suite 300, PBN: 3071
Durham, NC 27713-5273

Phone

(919) 437-6627

Fax

(919) 258-2490

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Kelly C Johnson, LCSWNPI 1427573476

Title

Member

Phone

(919) 437-6627

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• A New Chapter Counseling Services Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Colleen Johnson, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1427573476
  NPD (past) Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1205482460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PARKWAY",
            "address_2": "SUITE 300, PBN: 3071",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135273",
            "telephone_number": "919-437-6627",
            "fax_number": "919-258-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PARKWAY",
            "address_2": "SUITE 300, PBN: 3071",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135273",
            "telephone_number": "919-437-6627",
            "fax_number": "919-258-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY C. JOHNSON LCSW, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-437-6627",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C012146",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149019599",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1427573476",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.johnson@anewchaptercs.com",
            "affiliation": "N",
            "endpointDescription": "Contact person HIPAA compliant email",
            "address_1": "44 Relict Dr",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275276710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A New Chapter Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Kelley
• Michael John Kelley, MD
• Scott Streater Kelley, MD
• Jamie Elizabeth Kellner, PHARMD
• John Benjamin Kellogg, MD
• Kelly K. Anthony, PHD, PLLC
• Emily Kelly
• Felicia Nichole Kelly, LPA
• Hannah Claire Kelly, MD
• James Reginald Kelly, MD, MBA

• Adolescent and Children Mental Health Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.