Individual provider Active NPI

Kelley Anne Johns, MA, LPC

  • Counselor
  • Fort Collins, CO
National Provider Identifier
1417466913
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0015888 Issued in CO
Practice address
375 E. Horsetooth Road Building 2
Suite 101
Fort Collins, CO 80525-1110
Phone
(970) 484-1735
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0015888 CO Primary
Counselor 101Y00000X 0015174 CO

Addresses

Primary practice location

375 E. Horsetooth Road Building 2
Suite 101
Fort Collins, CO 80525-1110

Mailing address

375 E. Horsetooth Road Building 2
Suite 101
Fort Collins, CO 80525-1110
Phone (970) 484-1735

Other practice location 1

921 E Prospect Rd
Fort Collins, CO 80525-1110
Phone (970) 484-1735

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0015174COMDCounselor
LPC.0015888COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1417466913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E. HORSETOOTH ROAD BUILDING 2",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251110",
            "telephone_number": "970-484-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E. HORSETOOTH ROAD BUILDING 2",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251110",
            "telephone_number": "970-484-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 E Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251110",
            "country_code": "US",
            "telephone_number": "970-484-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "KELLEY",
        "middle_name": "ANNE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0015888",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0015174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.