Individual provider Active NPI

Kevin Johnson

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1497523260
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
275 4TH St E Ste 301
Saint Paul, MN 55101-1771
Phone
(651) 410-2750
NPI assigned
Dec 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

275 4TH St E Ste 301
Saint Paul, MN 55101-1771

Mailing address

275 4TH St E Ste 301
Saint Paul, MN 55101-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20250103001768 MN Practitioner - Mental Health Counselor 8325576333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Art of Counseling PLLCGroup PAC ID 3678918042, 14 clinicians

Practice addresses (Care Compare)

275 4TH St E
Saint Paul, MN 55101-1771
Phone (651) 318-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4598MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Counseling, PLLC Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1497523260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011771",
            "telephone_number": "651-410-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.