MS. KIMBERLY JOHNSON
NPI 1659788370
Counselor - Addiction (Substance Use Disorder) in Highland Park, MI

Active since July 15, 2014PECOS Enrolled
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203(313) 865-1580 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Kimberly Johnson NPPES

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

MS. KIMBERLY JOHNSON (NPI 1659788370) is an individual addiction (substance use disorder) provider in Highland Park, Michigan and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659788370
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KIMBERLY JOHNSON
Location Address12501 HAMILTON AVEHighland Park, MI 48203-3243
Mailing Address12501 Hamilton AveHighland Park, MI 48203-3243 · (313) 865-1580
Sole ProprietorNo
Enumeration DateJuly 15, 2014
✔ NPI 1659788370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12501 HAMILTON AVE, Highland Park, MI 48203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Registered Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
DETROIT, MI 48203
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Registered Nurse (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203

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 1659788370. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 12501 Hamilton Ave, Highland Park, MI 48203. The listed phone number is (313) 865-1580.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.