MR. KENDALL M JOHNSON L.C.S.W.
NPI 1073659298
Social Worker - Clinical in Portland, OR

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
9155 SW BARNES RD STE 333, PORTLAND, OR 97225(503) 216-5102 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Kendall M Johnson L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENDALL M JOHNSON L.C.S.W. (NPI 1073659298) is an individual clinical provider in Portland, Oregon, licensed in (L5441) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073659298
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENDALL M JOHNSONCredential: L.C.S.W.
Location Address9155 SW BARNES RD STE 333Portland, OR 97225-6630
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
NPI 1073659298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed · L5441 Licensed in NY · 075642
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License L5441 (OR)
9155 SW BARNES RD STE 333, Portland, OR 97225

Secondary Practice Location 1

Location 19450 SW Barnes Rd, Suite 200Portland, OR 97225-6619 · Phone (503) 216-5016

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kendall M Johnson L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234129107
PECOS Enrollment IDI20200401002721
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
83 services15 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
52 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Social Worker
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Clinical Neuropsychologist
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Johnson's NPI number?

The NPI number for Kendall Johnson is 1073659298. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kendall Johnson located?

Kendall Johnson practices at 9155 SW Barnes Rd Ste 333, Portland, OR 97225. The listed phone number is (503) 216-5102.

What is Kendall Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kendall Johnson enrolled in Medicare?

Yes. Kendall Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kendall Johnson accept?

Health plans from Providence Health Plan list Kendall Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendall Johnson was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.