Kelli Ann Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1826 Issued in WY

Practice address

1221 W 5TH St
Sheridan, WY 82801

Phone

(307) 674-4405

NPI assigned

Aug 31, 2017

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

Eligible to order & refer

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

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Central Wyoming Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casper, WY
  • NPI 1730183617
  NPD
• Central Wyoming Counseling Center

  • Recovery Care Clinic/Center
  • Casper, WY
  • NPI 1861510281
  NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1558889394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012701",
            "telephone_number": "307-674-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-674-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jenkins, LPC,LADC/MH
• Brett A Jenks, PT, DPT, MDT, CFPS
• Ryan Jenks, MA, CCC-SLP
• Jodi'S Heart Inc.
• Jodi'S Heart Inc.
• Shawn Michael Johnson, M.S.W, C.S.W.
• John R Johnston, RN
• Amy Jolley-Schafer
• Colleen E Jones, RPH
• Corey Payton Jones, D.C.

• Professional Counselor in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.