KELSEY MARIE JOHNSON NPI 1003769043

NPI Information

  • NPI: 1003769043
  • Provider Name: KELSEY MARIE JOHNSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 220 E RIVER PKWY UNIT 251
    CHAMPLIN, MN
    ZIP 55316
  • Phone: (763) 221-9024

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NPI Details

Kelsey Marie Johnson is an addiction (substance use disorder) counselor in Champlin, MN. Kelsey Marie Johnson NPI is 1003769043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 E RIVER PKWY UNIT 251
CHAMPLIN, MN
ZIP 55316-412
Phone: (763) 221-9024

The enumeration date for this NPI number is 2/18/2026 and was last updated on 2/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)306163MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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