Kelly Johnson, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

87948 Issued in TX

Practice address

1660 Keller Pkwy
Keller, TX 76248-3702

Phone

(817) 431-8900

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1750034203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GIDRAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449456",
            "telephone_number": "817-253-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483702",
            "telephone_number": "817-431-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jodray, PHARMD
• Taylor J Johnsen, PA-C
• Bethany K Johnson, CPM, LM
• Gregory Paul Johnson, PT, DPT
• Katie Leighanne Johnson
• Koren K Johnson, OTR
• Lindsay Elizabeth Johnson, DOULA
• Paul Johnson, LPC-ASSOCIATE
• Rachel Elise Johnson
• Thaira Evylenn Johnson, RN, FNP-C

• Mental Health Counselor in Keller, TX
• Providers in Keller, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.