KELLY LYNN JOHNSON MA, LMFT
NPI 1508081456
Marriage & Family Therapist in Minneapolis, MN
About Kelly Lynn Johnson Ma, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LYNN JOHNSON MA, LMFT (NPI 1508081456) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (1462) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Lynn Johnson Ma, Lmft 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 148 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
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 Kelly Johnson's NPI number?
The NPI number for Kelly Johnson is 1508081456. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Kelly Lynn Lundman.
Where is Kelly Johnson located?
Kelly Johnson practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.
What is Kelly Johnson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Johnson enrolled in Medicare?
Yes. Kelly Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Johnson reassigns Medicare benefits to Associated Clinic Of Psychology Inc (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Johnson accept?
Health plans from HealthPartners list Kelly Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Johnson was last updated on December 13, 2023. 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.
# Kelly Lynn Johnson, MA, LMFT · NPI 1508081456
Marriage & Family Therapist provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1508081456 (Entity type: Individual)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 1462 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4027 COUNTY ROAD 25, Minneapolis, MN 55416-2629
- **Phone:** (612) 925-6033 · **Fax:** (612) 925-8496
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Clinic Of Psychology Inc (NPI 1588741292, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508081456) · Data from the CMS NPPES public registry.