Individual provider Active NPI

Kit Johnson, LADC, CDGC, LIMHP

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1265892517
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2461 Issued in NE
Practice address
2222 2ND Ave # 16
Suite 400
Kearney, NE 68847-5354
Phone
(308) 234-2119
Fax
(308) 234-2122
NPI assigned
Feb 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 921 NE
Mental Health Counselor 101YM0800X 2461 NE Primary

Addresses

Primary practice location

2222 2ND Ave # 16
Suite 400
Kearney, NE 68847-5354

Mailing address

2222 2ND Ave # 16
Suite 400
Kearney, NE 68847-5354
Phone (308) 234-2119

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

LicenseStateTypeSpecialty
2461NEMDClinical Social Worker
921NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Making Choices Counseling Addiction (Substance Use Disorder) Past 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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1265892517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 2ND AVE # 16",
            "address_2": "SUITE 400",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475354",
            "telephone_number": "308-234-2119",
            "fax_number": "308-234-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 2ND AVE # 16",
            "address_2": "SUITE 400",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475354",
            "telephone_number": "308-234-2119",
            "fax_number": "308-234-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIT",
        "name_prefix": "Mr.",
        "credential": "LADC, CDGC, LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "921",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.