Kathryn Marie Johncox, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Phone

(651) 456-8494

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

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.

• Iris Mental Health, LLC

  dba Iris Mental Health & Wellness

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1023528213

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1982376612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 17TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171211",
            "telephone_number": "612-237-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNCOX",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jke Enterprises LLC (ARCpoint Labs of Apple Valley)
• Jocelyn Lian Pediatric Physical Therapy Services, LLC
• Donte Mikael Jochum-Nesbitt, DDS
• Jillian Johannes, PA-C
• John a. Loraas, PH.D., P.a.
• Johnson Spinal Care Associates, P.a.
• Alexandra Johnson
• Amanda Ruth Johnson, MT
• Craig Matthew Johnson
• Janet Johnson, MSCCCSLP

• Clinical Social Worker in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.