Kerry Johnson Behavioral Health Services Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.

Practice address

3904 Miller Ave
Jackson, MS 39213-5965

Phone

(417) 849-8479

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Kerry C. Johnson, LPC

Title

Owner

Phone

(417) 849-8479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1295284123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 MILLER AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 MILLER AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135965",
            "telephone_number": "417-849-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-849-8479",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie Glassman Kerenick, LCSW
• Kerex LLC
• Natalie Kern, PHARMD
• Marilyn Maizland Kerr, L.P.C.
• Paul Benjamin Kerr, M.D.
• April Brooke Kertis, OTR/L
• Kes Homecare LLC
• Anna Marie Ketchum, RNP
• Charles Dylan Keveryn, PHARMD
• Kevin Galloway, DO

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.