KEVIN JOHNSON
NPI 1497523260
Counselor - Mental Health in Saint Paul, MN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 12, 2023PECOS Enrolled

275 4TH ST E STE 301, SAINT PAUL, MN 55101(651) 410-2750 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kevin Johnson NPPES

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

KEVIN JOHNSON (NPI 1497523260) is an individual mental health provider in Saint Paul, Minnesota and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497523260

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN JOHNSON

Location Address275 4TH ST E STE 301Saint Paul, MN 55101-1771

Mailing Address275 4th St E Ste 301Saint Paul, MN 55101-1771

Phone(651) 410-2750

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 12, 2023

NPPES CertifiedDecember 12, 2023

✔ NPI 1497523260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

275 4TH ST E STE 301, Saint Paul, MN 55101

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

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

PECOS PAC ID8325576333

PECOS Enrollment IDI20250103001768

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 17

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

JULIANA ANGELINE THRALL LPCC, ATR-BC

Counselor (Professional)