Kaitlyn Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

91162 Issued in TX

Practice address

3733 S Port Ave
Corpus Christi, TX 78415-4532

Phone

(361) 886-6970

NPI assigned

Oct 1, 2019

Last updated

Feb 5, 2025By 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nueces County Mental Health and Mental Retardation Community CtrGroup PAC ID 7618954777, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nueces County Mental Health & Mental Retardation Community Ctr

  dba Nueces Center for Mental Health and Intellectual Disabilities

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1255357828
  Medicare reassignment Care Compare group NPD
• Psykhe Incorporated, PLLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1225684814

  Mental Health

  NPD

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1407497597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71029",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784671029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 Fm 1960 Rd W Ste 600",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770694613",
            "country_code": "US",
            "telephone_number": "281-302-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAITLYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Johnson, MD
• Donna Johnson
• Eric Joshua Johnson, PHARMD
• Jamarra Johnson
• Jessica Johnson, BT
• Kelley Christine Johnson
• Larry D Johnson, M.D.
• Matt David Johnson, DC
• Michelle Johnson, NP-C
• Monica Shawn Johnson, LCSW

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.