DR. KERRY CAMMILLA JOHNSON PSY.D., LPC, NCC
NPI 1578803763
Counselor - Professional in Jackson, MS

Q: What is Kerry Johnson's NPI number?

The NPI number for Kerry Johnson is 1578803763. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Q: What is Kerry 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 Kerry Johnson was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 25, 2013

500 E WOODROW WILSON AVE STE M, JACKSON, MS 39216(417) 849-8479 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Kerry Cammilla Johnson Psy.d., Lpc, Ncc NPPES

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

DR. KERRY CAMMILLA JOHNSON PSY.D., LPC, NCC (NPI 1578803763) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1389) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1578803763

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. KERRY CAMMILLA JOHNSONCredential: PSY.D., LPC, NCC

Location Address500 E WOODROW WILSON AVE STE MJackson, MS 39216-4538

Mailing Address500 E Woodrow Wilson Ave Ste MJackson, MS 39216-4538 · (417) 849-8479

Phone(417) 849-8479

Sole ProprietorYes

Enumeration DateFebruary 25, 2013

Last NPPES UpdateFebruary 23, 2015

✔ NPI 1578803763 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 MS · 1389

500 E WOODROW WILSON AVE STE M, Jackson, MS 39216

Open in Google Maps ↗

Accepted Insurance

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

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 Kerry Johnson's NPI number?

The NPI number for Kerry Johnson is 1578803763. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Kerry Johnson located?

Kerry Johnson practices at 500 E Woodrow Wilson Ave Ste M, Jackson, MS 39216. The listed phone number is (417) 849-8479.

What is Kerry Johnson's specialty?

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

What insurance does Kerry Johnson accept?

Health plans from Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Kerry 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 Kerry Johnson was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.