Mary Jaye Kelly Johnston, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15145 Issued in TX

Practice address

355 Linwood
Conroe, TX 77304-2007

Phone

(281) 536-6503

Fax

(936) 447-6985

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jaye Kelly-Johnston Professional name

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1881764702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LINWOOD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044382",
            "telephone_number": "281-536-6503",
            "fax_number": "936-447-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINWOOD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042007",
            "telephone_number": "281-536-6503",
            "fax_number": "936-447-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY JOHNSTON",
        "first_name": "MARY",
        "middle_name": "JAYE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "15145",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161320001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYE",
            "last_name": "KELLY-JOHNSTON",
            "credential": "LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasleen Kaur, PA-C
• Claire Keh, DDS
• Kelsie Keith, D.C
• Tiffany Marie Keith
• Shannon Kelley, LPC
• Angelina Autin Kelly, RPH
• Leigh Ann Kelly, BSN, RN
• Stephen Michael Kelly, MD
• Jennifer Dawn Kemmerer, P.A.-C
• Genetta Kennedy

• Mental Health Counselor in Conroe, TX
• Providers in Conroe, 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 Oct 2, 2013; 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.