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MS. KELLEY ROSHELLE JOHNSON ADC-T
NPI 1386590602
Counselor - Addiction (Substance Use Disorder) in Princeton, MN

Active since March 09, 2026
105 6TH AVE S, PRINCETON, MN 55371(763) 308-0006(763) 631-0339 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kelley Roshelle Johnson Adc-t NPPES

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

MS. KELLEY ROSHELLE JOHNSON ADC-T (NPI 1386590602) is an individual addiction (substance use disorder) provider in Princeton, Minnesota, licensed in Minnesota (3188) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1386590602
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KELLEY ROSHELLE JOHNSONCredential: ADC-T
Location Address105 6TH AVE SPrinceton, MN 55371-1819
Mailing Address105 6th Ave SPrinceton, MN 55371-1819 · (763) 308-0006 · Fax (763) 631-0339
Phone(763) 308-0006
Fax(763) 631-0339
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1386590602 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 · 3188
105 6TH AVE S, Princeton, MN 55371
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Other Providers at the Same Location NPPES 6

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

C & C CONSULTING INC.
Community/Behavioral Health
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006
DONNA WAHLSTROM
Counselor (Addiction (Substance Use Disorder))
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006
DANA BARTHELD LADC
Counselor (Addiction (Substance Use Disorder))
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006
ASHLEY CARLSON LADC
Counselor (Addiction (Substance Use Disorder))
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006
MS. ALEXANDRA BLONIGEN BA, LADC
Counselor (Addiction (Substance Use Disorder))
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006
RACHAEL LYNN MATTSON
Counselor (Addiction (Substance Use Disorder))
105 6TH AVE S
PRINCETON, MN 55371
Mille Lacs County (763) 308-0006

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 1386590602. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Kelley Johnson located?

Kelley Johnson practices at 105 6th Ave S, Princeton, MN 55371. The listed phone number is (763) 308-0006.

What is Kelley 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 Kelley Johnson was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.