1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Counselor
  6. NPI Profile

KHRYSTAL JOHNSON LPC
NPI 1720495534
Counselor - Mental Health in Portland, OR

Active since July 14, 2014PECOS Enrolled
631 NE 102ND AVE, PORTLAND, OR 97220(971) 292-3874(971) 328-4735 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khrystal Johnson Lpc NPPES

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

KHRYSTAL JOHNSON LPC (NPI 1720495534) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C5540) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukie.

NPPES Registry Identity

NPI1720495534
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHRYSTAL JOHNSONCredential: LPC
Location Address631 NE 102ND AVEPortland, OR 97220-4004
Mailing Address631 Ne 102nd AvePortland, OR 97220-4004 · (971) 292-3874 · Fax (971) 328-4735
Phone(971) 292-3874
Fax(971) 328-4735
Sole ProprietorYes
Enumeration DateJuly 14, 2014
Last NPPES UpdateMay 15, 2021
NPPES CertifiedMay 15, 2021
✔ NPI 1720495534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C5540
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
631 NE 102ND AVE, Portland, OR 97220
Open in Google Maps ↗

Secondary Practice Location 1

Location 17525 SE Lake RdMilwaukie, OR 97267-2115 · Phone (503) 303-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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)

Khrystal Johnson Lpc 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 3

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

ELIZABETH NORMA NANCE CSWA
Social Worker (Clinical)
631 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 256-5766
LINDSAY MOLDOVAN
Marriage & Family Therapist
631 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 256-5766
NICCOLETTE RAMSEY MA, LPC
Counselor (Professional)
631 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 730-8474

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 Khrystal Johnson's NPI number?

The NPI number for Khrystal Johnson is 1720495534. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Khrystal Johnson located?

Khrystal Johnson practices at 631 NE 102nd Ave, Portland, OR 97220. The listed phone number is (971) 292-3874.

What is Khrystal Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Khrystal Johnson enrolled in Medicare?

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

What insurance does Khrystal Johnson accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Khrystal 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 Khrystal Johnson was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.