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KIMBERLY ANNE JOHNSON LCPC
NPI 1194940486
Counselor - Mental Health in Coeur D Alene, ID

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
3700 W SELTICE WAY, COEUR D ALENE, ID 83814(208) 620-5255(208) 664-9217 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Sep 17, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Kimberly Anne Johnson Lcpc NPPES

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

KIMBERLY ANNE JOHNSON LCPC (NPI 1194940486) is an individual mental health provider in Coeur D Alene, Idaho and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194940486
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ANNE JOHNSONCredential: LCPC
Location Address3700 W SELTICE WAYCoeur D Alene, ID 83814-8921
Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 664-8347
Phone(208) 620-5255
Fax(208) 664-9217
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1194940486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCPC-4251 (ID)
3700 W SELTICE WAY, Coeur D Alene, ID 83814
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Other Names 1

Former Name (1)Kimberly Anne Breckenridge/kreaman Lpc, Ncc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Anne Johnson Lcpc 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 ID648613323
PECOS Enrollment IDI20241007002395
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dirne Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
3700 W SELTICE WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 81 clinicians in this Medicare group
NPI 1255756730 (208) 215-2126

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TAYLOR LEDBETTER
Counselor (Professional)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5255
MARTINA FOLOWELL NIX
Counselor (Mental Health)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5255
JACOB ALLEN COBB LMSW
Social Worker
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
DEEMARLA TAVARES LMSW
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
MADISON MARIE FLOYD LMSW
Social Worker
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 520-5255
TINA HUSKY LCSW
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
MS. ERICA MARIE CHANEY I LSW
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
JILL MARIE WHITE ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5255

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 Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1194940486. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Kimberly Anne Breckenridge/Kreaman Lpc, Ncc.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 3700 W Seltice Way, Coeur D Alene, ID 83814. The listed phone number is (208) 620-5255.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly 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.

Which organization bills Medicare for Kimberly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Johnson reassigns Medicare benefits to Dirne Health Centers, Inc. (Coeur D Alene, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Johnson accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kimberly 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 Kimberly Johnson was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.