Active NPI
Judith M Johnson, MSN, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5379196061
- Practice address
- 8101 College Blvd Ste 100
Overland Park, KS 66210-2671 - Phone
- (833) 351-8255
- NPI assigned
- May 26, 2006
- Last updated
- Sep 8, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0050-02022 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP3355 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0107511-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0050-02022 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5379196061 | KS | Primary |
Addresses
Primary practice location
8101 College Blvd Ste 100
Overland Park, KS 66210-2671
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
3515 S 4th St
Leavenworth, KS 66048-5013
Phone (816) 845-8550
Other practice location 2
2373 Central Park Blvd Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255
Other practice location 3
4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3515 S 4TH St
Suite 102
Leavenworth, KS 66048-5079
Phone (816) 845-8550
6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Phone (913) 327-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3355 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5379196061 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0050-02022 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric and Counseling Associates LLC | Current | Accepting new patients | |
| Alive Family Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Alive Family Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Alive Family Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| The Richmond Center | Past | Accepting new patients | |
| Community and Family Resources | Past | Accepting new patients | |
| Integrated Premier Group Ipg | Past | Accepting new patients |
Locations
3515 S 4th St
Ste 102
Leavenworth, KS 66048
Phone (816) 845-8550
380 Limit St
Leavenworth, KS 66048
Phone (816) 845-8550
8400 W 110th St
Ste 250
Overland Park, KS 66210
Phone (913) 327-7505
Interoperability endpoints
- lifestancehealth.judithjohnson@154228.advancedmd-direct.com
Organizations & group practices 7
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Leavenworth, KS
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1962458182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 COLLEGE BLVD STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102671",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "3515 S 4th St",
"address_purpose": "LOCATION",
"city": "Leavenworth",
"state": "KS",
"postal_code": "660485013",
"country_code": "US",
"telephone_number": "816-845-8550",
"fax_number": "816-219-6965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2373 Central Park Blvd Unit 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382300",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4435 E Chandler Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850487651",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUDITH",
"middle_name": "M",
"credential": "MSN, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "0050-02022",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP3355",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0107511-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "0050-02022",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "5379196061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.