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KEELY JOHNSON PSY.D
NPI 1154047314
Psychologist - Clinical in Edmond, OK

Active since October 18, 2022
2529 S KELLY AVE STE B, EDMOND, OK 73013(405) 454-8016(405) 583-4963 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Mar 23, 2026, Oct 18, 2022 (3 updates tracked since 2022).

About Keely Johnson Psy.d NPPES

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

KEELY JOHNSON PSY.D (NPI 1154047314) is an individual clinical provider in Edmond, Oklahoma, licensed in Oklahoma (1418) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1154047314
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKEELY JOHNSONCredential: PSY.D
Location Address2529 S KELLY AVE STE BEdmond, OK 73013-2976
Mailing Address2529 S Kelly Ave Ste BEdmond, OK 73013-2976 · (405) 454-8016 · Fax (405) 583-4963
Phone(405) 454-8016
Fax(405) 583-4963
Sole ProprietorYes
Enumeration DateOctober 18, 2022
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1154047314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OK · 1418
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2529 S KELLY AVE STE B, Edmond, OK 73013
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Other Names 1

Other Name (5)Keely Rae Johnson Heiderstadt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

VALERIYA CHALMERS
Marriage & Family Therapist
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 906-2517
VICTORIA JAMES MS, LPC, NCC
Counselor
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 906-2517
MICHEAL ANDERSON LMFT-C
Marriage & Family Therapist
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 906-2517
WILDFLOWER PSYCHOLOGY AND CONSULTING, LLC
Psychologist (Clinical)
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 454-8016
MR. CHARLES T DUTTON JR. M.S., LMFT
Marriage & Family Therapist
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 923-8922
EMILY BERNHARD COUNSELING
Counselor (Professional)
2529 S KELLY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 367-5934

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 Keely Johnson's NPI number?

The NPI number for Keely Johnson is 1154047314. It was assigned to this individual provider in the NPPES registry on October 18, 2022. The provider is also known as Keely Rae Johnson Heiderstadt.

Where is Keely Johnson located?

Keely Johnson practices at 2529 S Kelly Ave Ste B, Edmond, OK 73013. The listed phone number is (405) 454-8016.

What is Keely Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Keely Johnson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Keely 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 Keely Johnson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.