Active NPI
Kelley Johnson, LPC
- Professional Counselor
- Delhi, LA
National Provider Identifier
1891107264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4028
- Practice address
- 407 Cincinnati St
Delhi, LA 71232-3007 - Phone
- (318) 878-8965
- Fax
- (318) 878-5599
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4028 | LA | Primary |
Addresses
Primary practice location
407 Cincinnati St
Delhi, LA 71232-3007
Mailing address
407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-8965
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4028 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1891107264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 CINCINNATI ST",
"city": "DELHI",
"state": "LA",
"postal_code": "712323007",
"telephone_number": "318-878-8965",
"fax_number": "318-878-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CINCINNATI ST",
"city": "DELHI",
"state": "LA",
"postal_code": "712323007",
"telephone_number": "318-878-8965",
"fax_number": "318-878-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KELLEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delhi, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.