KIMBERLY JOHNSON LCPC
NPI 1407340185
Counselor - Professional in Columbia, MD

Q: What is Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1407340185. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on December 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

9520 BERGER RD STE 203, COLUMBIA, MD 21046(410) 290-6940(443) 279-0537 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2018, Jun 18, 2018 (2 updates tracked since 2018).

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About Kimberly Johnson Lcpc NPPES

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

KIMBERLY JOHNSON LCPC (NPI 1407340185) is an individual professional provider in Columbia, Maryland, licensed in Maryland (LC8733) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407340185

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY JOHNSONCredential: LCPC

Location Address9520 BERGER RD STE 203Columbia, MD 21046-1543

Mailing Address120 Sister Pierre Dr Ste 403Towson, MD 21204-7536 · (410) 823-6408 · Fax (443) 279-0537

Phone(410) 290-6940

Fax(443) 279-0537

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 18, 2018

Last NPPES UpdateDecember 18, 20182 updates tracked since enumeration

✔ NPI 1407340185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC8733

9520 BERGER RD STE 203, Columbia, MD 21046

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Johnson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931551025

PECOS Enrollment IDI20240222000650, I20240430000151

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 6

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

ROXANE BLANCHARD JOHNSON LCPC

Counselor (Professional)