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KATHRYN JOHNSON
NPI 1114005667
Clinic/Center in Mount Dora, FL

Active since November 01, 2006
4400 N HIGHWAY 19A, SUITE 4, MOUNT DORA, FL 32757(352) 988-4181 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Johnson NPPES

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

KATHRYN JOHNSON (NPI 1114005667) is a healthcare organization registered as a clinic/center in Mount Dora, Florida and active in the NPI registry since November 2006. The organization lists Kathryn Johnson, Psychosocial Clinician Ii, as its authorized official.

NPPES Registry Identity

NPI1114005667
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKATHRYN JOHNSON
Location Address4400 N HIGHWAY 19A, SUITE 4Mount Dora, FL 32757-2032
Mailing Address5655 S Orange AveOrlando, FL 32809-4289 · (407) 895-4100 · Fax (407) 422-4492
Phone(352) 988-4181
Organization SubpartNo
Authorized OfficialKathryn JohnsonPsychosocial Clinician Ii · (352) 988-4181
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114005667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4400 N HIGHWAY 19A, Mount Dora, FL 32757
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Other Identifiers 1

OtherSW 6550FL · Social Work License

Other Providers at the Same Location NPPES 4

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

WENDY TAYLOR LMFT
Marriage & Family Therapist
4400 N HIGHWAY 19A, SUITE 5
MOUNT DORA, FL 32757
Orange County (352) 315-7800
REFLECTIONS OF RECOVERY, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4400 N HIGHWAY 19A, SUITE 6
MOUNT DORA, FL 32757
Orange County (352) 308-8281
MRS. JESSICA LAYNE
Case Manager/Care Coordinator
4400 N HIGHWAY 19A, UNIT 10
MOUNT DORA, FL 32757
Orange County (407) 843-1760
BRADLEY B KREISHER
Physical Therapy Assistant
4400 N HIGHWAY 19A
MOUNT DORA, FL 32757
Orange County (352) 800-4231

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 Kathryn Johnson's NPI number?

The NPI number for Kathryn Johnson is 1114005667. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Kathryn Johnson located?

Kathryn Johnson is located at 4400 N Highway 19A Suite 4, Mount Dora, FL 32757. The listed phone number is (352) 988-4181.

What is Kathryn Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kathryn Johnson was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.