Individual provider Active NPI

Kayla Florence Johnson, LCPC-C

  • Professional Counselor
  • Skowhegan, ME
National Provider Identifier
1356915177
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL5820 Issued in ME
Practice address
519 Bigelow Hill Rd
Skowhegan, ME 04976-5226
Phone
(207) 399-9818
NPI assigned
May 17, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X XL5820 ME Primary

Addresses

Primary practice location

519 Bigelow Hill Rd
Skowhegan, ME 04976-5226

Mailing address

10 Julie CT
Skowhegan, ME 04976-2165
Phone (207) 399-9818

Other identifiers 1

IdentifierTypeStateIssuer
XL5820MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Skowhegan Health Information Exchange (HIE) Health Affiliates Maine, LLC

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
XL5820MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1356915177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JULIE CT",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049762165",
            "telephone_number": "207-399-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BIGELOW HILL RD",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049765226",
            "telephone_number": "207-399-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "FLORENCE",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL5820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XL5820",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Skowhegan",
            "affiliation": "Y",
            "affiliationName": "Health Affiliates Maine, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "306 Rodman Rd",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042103830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.