Kim Sue Johancen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0003285 Issued in CO

Practice address

12835 E Arapahoe Rd Ste P-850
Centennial, CO 80112-3940

Phone

(970) 946-8737

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Johancen-Walt Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear View Counseling and Consulting, LLC

  • Mental Health Counselor
  • Greenwood Village, CO
  • NPI 1235905449
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1962874867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 S KITTREDGE CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154029",
            "telephone_number": "970-946-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD STE P-850",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "970-946-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANCEN",
        "first_name": "KIM",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2024-09-11",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0003285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JOHANCEN-WALT",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JMB Housing LLC
• Cynthia Denes Jobe, M.S., LAC
• Jodi Lampert DDS
• Jody Kircher, PSYD, LLC
• Joel Shebowich MD PC
• Jasmine Johann, FNP-BC
• Olivia Xiumei Johann
• Gina Marie Johannesman, M.P.T.
• John L Schachet OD PC
• John M Hiner, MD, PLLC

• Professional Counselor in Centennial, CO
• Providers in Centennial, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.