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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAITLYNN ELIZABETH JOHNSON
NPI 1306779657
Counselor - Mental Health in Omaha, NE

Active since June 05, 2026
4920 S 30TH ST STE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlynn Elizabeth Johnson NPPES

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

KAITLYNN ELIZABETH JOHNSON (NPI 1306779657) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (14172) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1306779657
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYNN ELIZABETH JOHNSON
Location Address4920 S 30TH ST STE 103Omaha, NE 68107-1656
Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990
Phone(402) 734-4110
Fax(402) 734-3990
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1306779657 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 NE · 14172
4920 S 30TH ST STE 103, Omaha, NE 68107
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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.

ANGELA SALAZAR APRN
Nurse Practitioner (Family)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
JAMILA FACHON STOVALL CNM
Advanced Practice Midwife
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
MOLLIE STEHL LIMHP
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
KATHYA CARVAJAL
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
DANIEL ARANDA-FREGOSO PA-C
Physician Assistant (Medical)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
WILLIAM RANDOLPH JONES PA-C
Physician Assistant
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
ALEXANDER DMITRY BANKETOV DDS
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
CECILIA MIYARES
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 502-8846

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 Kaitlynn Johnson's NPI number?

The NPI number for Kaitlynn Johnson is 1306779657. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Kaitlynn Johnson located?

Kaitlynn Johnson practices at 4920 S 30th St Ste 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Kaitlynn Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaitlynn Johnson was last updated on June 5, 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.