Active NPI
Kathleen M Hunt Johnson, LCPC
- Professional Counselor
- Saco, ME
National Provider Identifier
1922146273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC1675
- Practice address
- 50 Moody St
Saco, ME 04072-1536 - Phone
- (207) 642-5656
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 | CC1675 | ME | Primary |
Addresses
Primary practice location
50 Moody St
Saco, ME 04072-1536
Mailing address
19 Old Thompson Rd
Buxton, ME 04093-3431
Phone (207) 642-5656
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 |
|---|---|---|---|
| CC1675 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1922146273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLD THOMPSON RD",
"city": "BUXTON",
"state": "ME",
"postal_code": "040933431",
"telephone_number": "207-642-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOODY ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721536",
"telephone_number": "207-642-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT JOHNSON",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC1675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.