KELLY LYNN JOHNSON MA, LMFT
NPI 1508081456
Marriage & Family Therapist in Minneapolis, MN

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1508081456
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY LYNN JOHNSONCredential: MA, LMFT
Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 16, 2007
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
NPI 1508081456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 1462
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4027 COUNTY ROAD 25, Minneapolis, MN 55416

Other Names 1

Former Name (1)Kelly Lynn Lundman

Accepted 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

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.

PECOS PAC ID8426401936
PECOS Enrollment IDI20240131004724
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 20

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

Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, 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.

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.