Kayla Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

863 Wright Ave
Alliance, OH 44601-2835

Phone

(330) 428-4611

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Divergent Therapy Solutions LLC

  dba Divergent Therapy Solutions

  • Clinical Social Worker
  • Alliance, OH
  • NPI 1558198481
  NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1285019364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 WRIGHT AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012835",
            "telephone_number": "330-428-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 WRIGHT AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012835",
            "telephone_number": "330-428-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4641 Fulton Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182384",
            "country_code": "US",
            "telephone_number": "330-433-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Walker
• Breanna Stephanie Jahdi, PHARMD.
• Jesse W White (White Physical Therapy Services, LTD.)
• Nathan Webb Johns, PHARMD
• Brenda Kay Johnson, CCHW
• Lindsay Marie Johnson, LPN
• Tina Lynette Johnson
• D Evelyn Jones, LICENSED HEARING AID
• Eddrianna Renee Jones, RN
• Joseph M Pederzolli LLC

• Social Worker in Alliance, OH
• Providers in Alliance, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.