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KIMBERLIE JO JOHNSON
NPI 1104463694
Social Worker - Clinical in Provo, UT

Active since December 04, 2019
1881 N 1120 W, PROVO, UT 84604(435) 248-2089(801) 207-5104 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Feb 25, 2025, Dec 4, 2019 (3 updates tracked since 2019).

About Kimberlie Jo Johnson NPPES

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

KIMBERLIE JO JOHNSON (NPI 1104463694) is an individual clinical provider in Provo, Utah and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1104463694
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLIE JO JOHNSON
Location Address1881 N 1120 WProvo, UT 84604-1180
Mailing Address1881 N 1120 WProvo, UT 84604-1180 · (435) 248-2089 · Fax (801) 207-5104
Phone(435) 248-2089
Fax(801) 207-5104
Sole ProprietorYes
Enumeration DateDecember 4, 2019
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1104463694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1881 N 1120 W, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

ROBERTO SCORDARI LCSW
Social Worker (Clinical)
1881 N 1120 W
PROVO, UT 84604
Utah County (435) 248-2089
KINDLED LIGHT THERAPY AND WELLNESS
Counselor (Mental Health)
1881 N 1120 W
PROVO, UT 84604
Utah County (801) 228-8069
ELIZABETH HARRELL LMFT
Marriage & Family Therapist
1881 N 1120 W
PROVO, UT 84604
Utah County (435) 248-2089
ENLIGHTENED PATH PLLC
Clinic/Center (Adult Mental Health)
1881 N 1120 W
PROVO, UT 84604
Utah County (385) 233-0672
HEATHER PEARCE LCSW
Social Worker (Clinical)
1881 N 1120 W
PROVO, UT 84604
Utah County (208) 709-2946
SAMANTHA MOEAI LCSW
Counselor (Mental Health)
1881 N 1120 W
PROVO, UT 84604
Utah County (801) 472-8382
MRS. EMILY FREEZE
Marriage & Family Therapist
1881 N 1120 W
PROVO, UT 84604
Utah County (801) 683-6830

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 Kimberlie Johnson's NPI number?

The NPI number for Kimberlie Johnson is 1104463694. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Where is Kimberlie Johnson located?

Kimberlie Johnson practices at 1881 N 1120 W, Provo, UT 84604. The listed phone number is (435) 248-2089.

What is Kimberlie Johnson's specialty?

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

What insurance does Kimberlie Johnson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kimberlie 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 Kimberlie Johnson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.