KENNETH D JOHNSON
NPI 1922894880
Case Manager/Care Coordinator in Clearlake Oaks, CA

Q: What is Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1922894880. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Q: What is Kenneth Johnson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Johnson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2025

13300 E HIGHWAY 20, CLEARLAKE OAKS, CA 95423(707) 998-0310 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenneth D Johnson NPPES

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

KENNETH D JOHNSON (NPI 1922894880) is an individual case manager/care coordinator provider in Clearlake Oaks, California, licensed in California (MPSS-YDOIKM) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1922894880

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKENNETH D JOHNSON

Location Address13300 E HIGHWAY 20Clearlake Oaks, CA 95423-9436

Mailing AddressPo Box 1024Lucerne, CA 95458-1024 · (707) 274-9101

Phone(707) 998-0310

Sole ProprietorNo

Enumeration DateApril 17, 2025

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1922894880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in CA · MPSS-YDOIKM

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

13300 E HIGHWAY 20, Clearlake Oaks, CA 95423

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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 1922894880. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 13300 E Highway 20, Clearlake Oaks, CA 95423. The listed phone number is (707) 998-0310.

What is Kenneth Johnson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Johnson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.