Kelsey S. R. Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7155-125 Issued in WI

Practice address

2010 Eastwood Dr Ste 202
Madison, WI 53704-5387

Phone

(608) 255-9119

Fax

(608) 255-9219

NPI assigned

Dec 16, 2018

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychology Associates LLP

  • Professional Counselor
  • Madison, WI
  • NPI 1902952203
  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1417428764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 RENSVOLD BLVD",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603242",
            "telephone_number": "952-221-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 EASTWOOD DR STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045387",
            "telephone_number": "608-255-9119",
            "fax_number": "608-255-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "middle_name": "S. R.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7155-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lou Johnson, LPN
• Katrina Johnson, PSYD
• Kayla Eileen Johnson
• Kelcy E Johnson, PHARMD
• Kelly Lynn Johnson
• Kimberly Johnson, M.D.
• Krista Johnson, OTR/L
• Kristin A Johnson, PSY. D
• Kyra L. Johnson
• Laura Johnson

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.