Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY BROOKE JOHNSON LPC, MMFT
NPI 1639886070
Counselor - Professional in Magnolia, TX

Active since November 04, 2022PECOS EnrolledAccepts Medicare Assignment
5419 TORY ANN DR, MAGNOLIA, TX 77354(254) 458-4528 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, Aug 7, 2026, Nov 16, 2022 and 1 more (4 updates tracked since 2022).

About Kimberly Brooke Johnson Lpc, Mmft NPPES

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

KIMBERLY BROOKE JOHNSON LPC, MMFT (NPI 1639886070) is an individual professional provider in Magnolia, Texas, licensed in Texas (88827) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639886070
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY BROOKE JOHNSONCredential: LPC, MMFT
Location Address5419 TORY ANN DRMagnolia, TX 77354-5850
Mailing Address5419 Tory Ann DrMagnolia, TX 77354-5850 · (254) 458-4528
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2022
Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1639886070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 88827
Also ListedCounselorTaxonomy 101Y00000X · License 88827 (TX)
5419 TORY ANN DR, Magnolia, TX 77354

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

Kimberly Brooke Johnson Lpc, Mmft 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 ID5991236028
PECOS Enrollment IDI20241001000911
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
5419 TORY ANN DR
Magnolia, TX 77354
  • Reassigned Medicare billing, Texas enrollment
Mental Health
128 VISION PARK BLVD STE 230
Shenandoah, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 13 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

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

Counselor (Professional)
5419 TORY ANN DR
MAGNOLIA, TX 77354

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 Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1639886070. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 5419 Tory Ann Dr, Magnolia, TX 77354. The listed phone number is (254) 458-4528.

What is Kimberly Johnson's specialty?

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

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly 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 organizations bill Medicare for Kimberly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Johnson reassigns Medicare benefits to 2 organizations: Johnson Ranch Holdings PLLC Inner Path Therapy (Magnolia, TX) and Thrive Mental Health PLLC (Shenandoah, TX). Each 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 Kimberly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Kimberly 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 Kimberly Johnson was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.