Kimberly Dawn Johnson, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1409077 Issued in AR

Practice address

8 Wilson Farm Rd Ste D
Greenbrier, AR 72058-8200

Phone

(501) 557-6785

Fax

(501) 613-0411

NPI assigned

Jul 27, 2009

Last updated

Dec 21, 2018By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberlyjohnson2@tdh.allscriptsdirect.net

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.

• Salt Counseling and Consultation, Inc.

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  • NPI 1184119257
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1376774216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720310558",
            "telephone_number": "866-533-1765",
            "fax_number": "501-745-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON FARM RD STE D",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720588200",
            "telephone_number": "501-557-6785",
            "fax_number": "501-613-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1409077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jcas, Inc. (Greenbrier Family Chiro)
• Tracy Jeane, M.S., CCC-SLP
• Danielle R Jenkins, CNP
• Jarrod Jerry, A.P.N.
• Anna Johnson, LAC
• Shauna Johnson
• Kala Jones
• Heather Killough, APRN
• Victoria Raylene King
• Melody Kramme

• Professional Counselor in Greenbrier, AR
• Providers in Greenbrier, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.