KIM JOHNSON MHR, D.MIN, CSAYC
NPI 1508277401
Psychiatric Residential Treatment Facility in Indianapolis, IN

Active since May 13, 2014
1404 S STATE AVE, INDIANAPOLIS, IN 46203(317) 783-4003(317) 780-4810 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kim Johnson Mhr, D.min, Csayc NPPES

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

KIM JOHNSON MHR, D.MIN, CSAYC (NPI 1508277401) is an individual psychiatric residential treatment facility provider in Indianapolis, Indiana and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1508277401
Entity TypeIndividualFemale
Primary Taxonomy323P00000X
Provider Legal NameKIM JOHNSONCredential: MHR, D.MIN, CSAYC
Location Address1404 S STATE AVEIndianapolis, IN 46203-2009
Mailing Address1404 S State AveIndianapolis, IN 46203-2009 · (317) 783-4003 · Fax (317) 780-4810
Fax(317) 780-4810
Sole ProprietorYes
Enumeration DateMay 13, 2014
NPI 1508277401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1404 S STATE AVE, Indianapolis, IN 46203

Other Providers at the Same Location NPPES 4

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

Residential Treatment Facility, Emotionally Disturbed Children
1404 S STATE AVE
INDIANAPOLIS, IN 46203
Social Worker
1404 S STATE AVE, 1404 S. STATE AVE
INDIANAPOLIS, IN 46203
Clinic/Center (Mental Health (Including Community Mental Health Center))
1404 S STATE AVE
INDIANAPOLIS, IN 46203
Residential Treatment Facility, Emotionally Disturbed Children
1404 S STATE AVE
INDIANAPOLIS, IN 46203

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 Kim Johnson's NPI number?

The NPI number for Kim Johnson is 1508277401. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Kim Johnson located?

Kim Johnson practices at 1404 S State Ave, Indianapolis, IN 46203. The listed phone number is (317) 783-4003.

What is Kim Johnson's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Kim Johnson was last updated on May 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.