KATHLEEN NOEL JOHNSON LMHC
NPI 1316796857
Counselor - Mental Health in Jacksonville, FL

Active since May 16, 2024PECOS Enrolled
2055 REYKO RD STE 100, JACKSONVILLE, FL 32207(904) 648-8200 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, May 16, 2024 (2 updates tracked since 2024).

About Kathleen Noel Johnson Lmhc NPPES

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

KATHLEEN NOEL JOHNSON LMHC (NPI 1316796857) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH23756) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316796857
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN NOEL JOHNSONCredential: LMHC
Location Address2055 REYKO RD STE 100Jacksonville, FL 32207-2822
Mailing Address11636 Starfish AveJacksonville, FL 32246-3917 · (571) 430-0983
Sole ProprietorNo
Enumeration DateMay 16, 2024
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1316796857 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 FL · MH23756
2055 REYKO RD STE 100, Jacksonville, FL 32207

Other Names 1

Former Name (1)Stephanie Katelyn Moroney

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Noel Johnson Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Counselor (Mental Health)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Social Worker (Clinical)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Counselor (Mental Health)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Social Worker (Clinical)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Psychiatry)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Nurse Practitioner (Psychiatric/Mental Health)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Social Worker (Clinical)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207
Nurse Practitioner (Psychiatric/Mental Health)
2055 REYKO RD STE 100
JACKSONVILLE, FL 32207

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 Kathleen Johnson's NPI number?

The NPI number for Kathleen Johnson is 1316796857. It was assigned to this individual provider in the NPPES registry on May 16, 2024. The provider is also known as Stephanie Katelyn Moroney.

Where is Kathleen Johnson located?

Kathleen Johnson practices at 2055 Reyko Rd Ste 100, Jacksonville, FL 32207. The listed phone number is (904) 648-8200.

What is Kathleen Johnson's specialty?

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

Is Kathleen Johnson enrolled in Medicare?

Yes. Kathleen Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Johnson accept?

Health plans from Molina Healthcare and UnitedHealthcare list Kathleen 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 Kathleen Johnson was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.