Individual provider Active NPI

Johanna Sarah Kennemer, MA, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1649681297
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60432644 Issued in WA
Practice address
19410 Highway 99 Ste a-124
Lynnwood, WA 98036-5102
Phone
(206) 715-5230
Fax
(206) 326-1160
NPI assigned
May 16, 2014
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60432644 WA Primary
Mental Health Counselor 101YM0800X 85774 TX

Addresses

Primary practice location

19410 Highway 99 Ste a-124
Lynnwood, WA 98036-5102

Mailing address

19410 Highway 99 Ste a-124
Lynnwood, WA 98036-5102
Phone (206) 715-5230

Other names 1

  • Miss Johanna Sarah Stern Former name

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
85774TXMDMental Health Counselor
LH60432644WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1649681297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 HIGHWAY 99 STE A-124",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365102",
            "telephone_number": "206-715-5230",
            "fax_number": "206-326-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 HIGHWAY 99 STE A-124",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365102",
            "telephone_number": "206-715-5230",
            "fax_number": "206-326-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEMER",
        "first_name": "JOHANNA",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60432644",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "STERN",
            "middle_name": "SARAH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.