Kristine L Johnson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1118 Issued in KS

Practice address

1201 Wakarusa Dr, BLDG E
Suite E-2
Lawrence, KS 66049-4722

Phone

(785) 434-3479

Fax

(785) 384-5618

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine McIver Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristine McIver Johnson PHD LLC

  • Psychologist
  • Lawrence, KS
  • NPI 1548759277
  Medicare reassignment NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1700826195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 JANA CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494417",
            "telephone_number": "785-218-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR, BLDG E",
            "address_2": "SUITE E-2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-434-3479",
            "fax_number": "785-384-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "MCIVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremiah Johnson, B.S., M.A., LCPC
• Jessica Rae Johnson, MD
• Kathryn Lorinda Johnson
• Kelsey Johnson, APRN
• Kimberly Lynn Johnson, LMSW
• Kyla Aileen Johnson, COTA/L
• Lynda Denise Johnson, ARNP
• Mary Kathryn Johnson
• Micheal P Johnson, PTA
• Michelena Johnson, COTA/L

• Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.