Kenneth Johnson, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH002026 Issued in PA

Practice address

2601 Herr St
Harrisburg, PA 17103-1815

Phone

(717) 230-9622

NPI assigned

Jun 27, 2014

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Philhaven

  • Psychiatric Hospital
  • Lebanon, PA
  • NPI 1972598076
  NPD (past)

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1679988653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HERR ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171031815",
            "telephone_number": "717-230-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HERR ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171031815",
            "telephone_number": "717-230-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENNETH",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Johnson, CRNA
• Emily Johnson, RN
• Eric Johnson, CADC,B.S. B.A.
• Jessica M Johnson
• Justin K Johnson, DO
• Kevin Robert Johnson, DPT
• Mark J Johnson, PSYD
• Pamela Denise Johnson, LPN
• Ria Reyes Johnson, PT, DPT
• Rosanne G Johnson, LPC

• Behavior Analyst in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.