KATELYN JOHNSON
NPI 1831670199
Counselor in Phoenix, AZ

Q: What is Katelyn Johnson's NPI number?

The NPI number for Katelyn Johnson is 1831670199. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Katelyn Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Johnson was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 24, 2018PECOS Enrolled

610 E BASELINE RD STE 5, PHOENIX, AZ 85042(602) 230-7373 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Aug 24, 2018 (2 updates tracked since 2018).

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About Katelyn Johnson NPPES

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

KATELYN JOHNSON (NPI 1831670199) is an individual counselor in Phoenix, Arizona and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1831670199

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKATELYN JOHNSON

Location Address610 E BASELINE RD STE 5Phoenix, AZ 85042-6536

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373

Phone(602) 230-7373

Sole ProprietorNo

Enumeration DateAugust 24, 2018

Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1831670199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

610 E BASELINE RD STE 5, Phoenix, AZ 85042

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Secondary Practice Location 1

Location 12000 Aldrich Ave SMinneapolis, MN 55405-3003 · Phone (612) 223-8898

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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)

Katelyn 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.

SABRINA SOLARES LPC

Counselor (Professional)