KELSEY ROSE JOHNSON M.ED., LPCI
NPI 1295151116
Counselor - Mental Health in Greenville, SC

Active since March 17, 2014Opted out of Medicare · through Mar 6, 2028
8 SYCAMORE DR, GREENVILLE, SC 29607(937) 212-8304 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelsey Rose Johnson M.ed., Lpci NPPES

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

KELSEY ROSE JOHNSON M.ED., LPCI (NPI 1295151116) is an individual mental health provider in Greenville, South Carolina, licensed in South Carolina (5572) and active in the NPI registry since March 2014. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1295151116
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY ROSE JOHNSONCredential: M.ED., LPCI
Location Address8 SYCAMORE DRGreenville, SC 29607-2965
Mailing Address8 Sycamore DrGreenville, SC 29607-2965 · (937) 212-8304
Sole ProprietorYes
Enumeration DateMarch 17, 2014
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
NPI 1295151116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in SC · 5572
8 SYCAMORE DR, Greenville, SC 29607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kelsey Rose Johnson M.ed., Lpci has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2026 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2026
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Nursing Care
8 SYCAMORE DR
GREENVILLE, SC 29607
Counselor (Mental Health)
8 SYCAMORE DR
GREENVILLE, SC 29607
Counselor (Professional)
8 SYCAMORE DR
GREENVILLE, SC 29607
Counselor
8 SYCAMORE DR
GREENVILLE, SC 29607

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 Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1295151116. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Kelsey Johnson located?

Kelsey Johnson practices at 8 Sycamore Dr, Greenville, SC 29607. The listed phone number is (937) 212-8304.

What is Kelsey Johnson's specialty?

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

Is Kelsey Johnson enrolled in Medicare?

No. Kelsey Johnson has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelsey Johnson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.