Kelley Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4028 Issued in LA

Practice address

407 Cincinnati St
Delhi, LA 71232-3007

Phone

(318) 878-8965

Fax

(318) 878-5599

NPI assigned

May 20, 2014

Last updated

May 20, 2014By the provider in NPPES

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

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

• Hospital Service District No 1-a of the Parish of Richland State of la

  dba Richland Parish Hospital Emergency Room Physicians

  • Emergency Medicine Physician
  • Delhi, LA
  • NPI 1760348056
  NPD (past)
• Hospital Service District No 1a of the Parish of Richland State of la

  dba Delhi Community School Based Center - Delhi Middle

  • Federally Qualified Health Center (FQHC)
  • Delhi, LA
  • NPI 1083967178
  NPD (past)

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": []
}

• Hospital Service District No1A of the Parish of Richland State of la (Delhi Community School Based Center-Delhi Elementary & High)
• Menoni Ize-Iyamu, M.D.
• Krystal R Jenkins
• JKS Chiropractic, Inc. (Delhi Chiropractic Clinic)
• Erica Johnson
• Brittany Joiner, FNP
• Shantika Jones
• Katie Federick Kavanaugh, LCSW
• Jan Michelle Kelly, BLSW
• Kinetic Prosthetics

• Professional Counselor in Delhi, LA
• Providers in Delhi, LA by specialty
• Professional Counselor in Louisiana

• 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.

Verify at the official NPI Registry.