Organization Active NPI

KD Johnson & Associates

  • Professional Counselor
  • Roseville, CA
National Provider Identifier
1326500893
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KD JOHNSON & ASSOCIATES
Practice address
2140 Professional Dr Ste 205
Roseville, CA 95661-3776
Phone
(916) 780-2575
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Kimberly Doris Johnson, L.C.S.W.NPI 1013053362
Title
Owner
Phone
(916) 780-2575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2140 Professional Dr Ste 205
Roseville, CA 95661-3776

Mailing address

2140 Professional Dr Ste 205
Roseville, CA 95661-3776
Phone (916) 780-2575

National Provider Directory

National Provider Directory

Locations

2140 Professional Dr
Ste 205
Roseville, CA 95661
Phone (916) 780-2575

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1326500893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PROFESSIONAL DR STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613776",
            "telephone_number": "916-780-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PROFESSIONAL DR STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613776",
            "telephone_number": "916-780-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD JOHNSON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-780-2575",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.