Active NPI
Kendall Marie Johnston, LPC
- Professional Counselor
- Redmond, OR
National Provider Identifier
1568001675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7270
- Practice address
- 852 SW 15TH St
Redmond, OR 97756 - Phone
- (541) 604-2737
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C7270 | OR | Primary |
Addresses
Primary practice location
852 SW 15TH St
Redmond, OR 97756
Mailing address
682 NE Mason Rd
Bend, OR 97701
Phone (805) 338-6966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2026 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7270 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1568001675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 NE MASON RD",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "805-338-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 SW 15TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "97756",
"telephone_number": "541-604-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KENDALL",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.