1. Home
  2. Directory
  3. Minnesota
  4. Otsego
  5. Counselor
  6. NPI Profile

KATHLEEN L JOHNSON BS, LADC, CBIS
NPI 1346934072
Counselor - Addiction (Substance Use Disorder) in Otsego, MN

Active since June 06, 2023
10990 95TH ST NE, OTSEGO, MN 55362(763) 329-7195(952) 448-6047 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Kathleen L Johnson Bs, Ladc, Cbis NPPES

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

KATHLEEN L JOHNSON BS, LADC, CBIS (NPI 1346934072) is an individual addiction (substance use disorder) provider in Otsego, Minnesota, licensed in Minnesota (302203) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1346934072
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATHLEEN L JOHNSONCredential: BS, LADC, CBIS
Location Address10990 95TH ST NEOtsego, MN 55362-8149
Mailing Address500 Marschall Rd Ste 300Shakopee, MN 55379-2690 · (952) 856-3932 · Fax (952) 448-6047
Phone(763) 329-7195
Fax(952) 448-6047
Sole ProprietorNo
Enumeration DateJune 6, 2023
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1346934072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302203
10990 95TH ST NE, Otsego, MN 55362
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MADILYN MYERS LPCC, LADC
Counselor (Addiction (Substance Use Disorder))
10990 95TH ST NE
OTSEGO, MN 55362
Wright County (763) 329-7195
STEPHANIE BREY LPCC
Counselor (Mental Health)
10990 95TH ST NE
OTSEGO, MN 55362
Wright County (763) 329-7195

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 1346934072. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Kathleen Johnson located?

Kathleen Johnson practices at 10990 95th St NE, Otsego, MN 55362. The listed phone number is (763) 329-7195.

What is Kathleen Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kathleen Johnson was last updated on May 15, 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.