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KEELY DYANE JOHNSON NCC,LPC
NPI 1679913891
Counselor - Professional in San Marcos, TX

Active since July 02, 2013PECOS Enrolled
1901 DUTTON DR, SUITE E, SAN MARCOS, TX 78666(512) 396-7695(512) 396-7633 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keely Dyane Johnson Ncc,lpc NPPES

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

KEELY DYANE JOHNSON NCC,LPC (NPI 1679913891) is an individual professional provider in San Marcos, Texas and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679913891
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKEELY DYANE JOHNSONCredential: NCC,LPC
Location Address1901 DUTTON DR, SUITE ESan Marcos, TX 78666-7573
Mailing Address1901 Dutton Dr, Suite ESan Marcos, TX 78666-7573 · (512) 396-7695 · Fax (512) 396-7633
Phone(512) 396-7695
Fax(512) 396-7633
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 2, 2013
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1679913891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X · License 61503 (TX)
1901 DUTTON DR, San Marcos, TX 78666
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Other Names 1

Former Name (1)Keely Dyane West Ncc,lpc

Other Identifiers 1

Medicaid065337001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keely Dyane Johnson Ncc,lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688180771
PECOS Enrollment IDI20250724001428
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 15

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

MARY M WALLY SLP
Speech-Language Pathologist
1901 DUTTON DR
SAN MARCOS, TX 78666
Hays County (512) 847-1547
JESSICA REE BOWERS SLP
Speech-Language Pathologist
1901 DUTTON DR, SUITE D
SAN MARCOS, TX 78666
Hays County (512) 558-2024
MRS. ELIZABETH RUTH ALWAIS LPC#603089
Counselor (Professional)
1901 DUTTON DR, SUITE E
SAN MARCOS, TX 78666
Hays County (512) 396-7695
MELISSA KAY WAGGONER LCSW
Social Worker (Clinical)
1901 DUTTON DR, SUITE D
SAN MARCOS, TX 78666
Hays County (512) 558-2002
MR. SCOTT DAVI HENIZE LPC
Counselor (Addiction (Substance Use Disorder))
1901 DUTTON DR, SUITE E
SAN MARCOS, TX 78666
Hays County (512) 396-7695
KIMBERLY DAWN CLEMONS LCDC
Counselor (Addiction (Substance Use Disorder))
1901 DUTTON DR, SUITE E
SAN MARCOS, TX 78666
Hays County (512) 396-7695
TIMOTHY JOHN WINTERS LPC
Counselor (Professional)
1901 DUTTON DR, SUITE E
SAN MARCOS, TX 78666
Hays County (512) 396-7695
MS. CRISTINA VIANEY MENDOZA MA, LCDC
Counselor (Addiction (Substance Use Disorder))
1901 DUTTON DR, SUITE E
SAN MARCOS, TX 78666
Hays County (512) 396-7695

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 Keely Johnson's NPI number?

The NPI number for Keely Johnson is 1679913891. It was assigned to this individual provider in the NPPES registry on July 2, 2013. The provider is also known as Keely Dyane West Ncc,lpc.

Where is Keely Johnson located?

Keely Johnson practices at 1901 Dutton Dr Suite E, San Marcos, TX 78666. The listed phone number is (512) 396-7695.

What is Keely Johnson's specialty?

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

Is Keely Johnson enrolled in Medicare?

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

What insurance does Keely 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 2 other insurers list Keely 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 Keely Johnson was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.