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KELLEY NICOLE JOHNSON
NPI 1336320555
Social Worker - Clinical in Las Vegas, NV

Active since November 15, 2007
4455 S PECOS RD STE C, LAS VEGAS, NV 89121(702) 350-1430 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Nicole Johnson NPPES

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

KELLEY NICOLE JOHNSON (NPI 1336320555) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (6849-C) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1336320555
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY NICOLE JOHNSON
Location Address4455 S PECOS RD STE CLas Vegas, NV 89121-5029
Mailing Address4000 E Charleston Blvd, #b230Las Vegas, NV 89104-6659 · (702) 968-4000
Phone(702) 350-1430
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateMay 7, 2019
✔ NPI 1336320555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 6849-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4455 S PECOS RD STE C, Las Vegas, NV 89121
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Other Identifiers 1

Medicaid1336320555NV

Other Providers at the Same Location NPPES 10

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

ANA ALYCIA BRADLEY LMFT-INTERN
Counselor (Mental Health)
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 505-1280
EQUANIMITY COUNSELING AND CONSULTING, LLC
Marriage & Family Therapist
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 807-9531
PATRICK TOBEY LMFT
Marriage & Family Therapist
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 807-9531
MS. JODI AUGUSTINE CPC
Counselor
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 234-4934
NICOLE JACQUELINE CAUCHOIS
Counselor
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 505-1280
DESIREE VARGAS
Marriage & Family Therapist
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 505-1280
THE HEALING CENTER LLC
Clinic/Center (Adult Mental Health)
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 350-1430
KELLEY JOHNSON
Clinic/Center (Adult Mental Health)
4455 S PECOS RD STE C
LAS VEGAS, NV 89121
Clark County (702) 350-1430

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 Kelley Johnson's NPI number?

The NPI number for Kelley Johnson is 1336320555. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Kelley Johnson located?

Kelley Johnson practices at 4455 S Pecos Rd Ste C, Las Vegas, NV 89121. The listed phone number is (702) 350-1430.

What is Kelley Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelley Johnson was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.