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MR. KENNETH R JOHNSON JR. 101YM0800X.
NPI 1730034364
Counselor - Addiction (Substance Use Disorder) in Dallas, OR

Active since February 27, 2026
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth R Johnson Jr. 101ym0800x. NPPES

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

MR. KENNETH R JOHNSON JR. 101YM0800X. (NPI 1730034364) is an individual addiction (substance use disorder) provider in Dallas, Oregon and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1730034364
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KENNETH R JOHNSON JR.Credential: 101YM0800X.
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address605 Se Jack AveMcminnville, OR 97128-5345 · (971) 237-8337
Phone(503) 623-9289
Sole ProprietorYes
Enumeration DateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1730034364 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
182 SW ACADEMY ST, Dallas, OR 97338
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1730034364. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Kenneth Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Johnson was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.