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KELLY JOHNSON
NPI 1134907322
Counselor - Addiction (Substance Use Disorder) in Rochester, NY

Active since September 19, 2023
1565 LONG POND RD, ROCHESTER, NY 14626(585) 723-7723 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Johnson NPPES

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

KELLY JOHNSON (NPI 1134907322) is an individual addiction (substance use disorder) provider in Rochester, New York and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1134907322
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY JOHNSON
Location Address1565 LONG POND RDRochester, NY 14626-4168
Mailing Address1565 Long Pond RdRochester, NY 14626-4168
Phone(585) 723-7723
Sole ProprietorNo
Enumeration DateSeptember 19, 2023
NPPES CertifiedOctober 26, 2021
✔ NPI 1134907322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1565 LONG POND RD, Rochester, NY 14626
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Other Providers at the Same Location NPPES 20

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

PATRICIA HALLIGAN MD
Psychiatry & Neurology (Addiction Psychiatry)
1565 LONG POND RD, CHEMICAL DEPENDENCY
ROCHESTER, NY 14626
Monroe County (585) 368-3600
MRS. AMY LYN HAYES NP
Nurse Practitioner (Family)
1565 LONG POND RD, SUITE 308
ROCHESTER, NY 14626
Monroe County (585) 227-1080
JUDITH MARY MURPHY FNP
Nurse Practitioner (Family)
1565 LONG POND RD, CHEMICAL DEPENDENCY
ROCHESTER, NY 14626
Monroe County (585) 723-7730
JANICE BUTLER LPN,CASAC
Licensed Practical Nurse
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
PATRICIA POTTER RN, CASAC
Registered Nurse (Psychiatric/Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
PATRICIA POLOSKY RN, SNII
Registered Nurse (Psychiatric/Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
BRENDA BARCLAY LMSW,CASAC
Counselor (Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
SHEILA BIBBINS LPN, CASAC
Counselor (Addiction (Substance Use Disorder))
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723

Frequently Asked Questions

What is Kelly Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1134907322, enumerated as an "individual" on September 19, 2023.

Where is the provider located?

The provider is located at 1565 LONG POND RD ROCHESTER, NY 14626 and the phone number is (585) 723-7723.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).