KIMBERLY BROOKE JOHNSON LPC MMFT NPI 1639886070

NPI Information

  • NPI: 1639886070
  • Provider Name: KIMBERLY BROOKE JOHNSON, LPC, MMFT
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 128 VISION PARK BLVD STE 230
    SHENANDOAH, TX
    ZIP 77384
  • Phone: (832) 810-7840

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NPI Details

Kimberly Brooke Johnson, LPC, MMFT is a professional counselor in Shenandoah, TX with 6 years of experience. Kimberly Brooke Johnson, LPC, MMFT NPI is 1639886070. 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:

128 VISION PARK BLVD STE 230
SHENANDOAH, TX
ZIP 77384-018
Phone: (832) 810-7840

The NPI 1639886070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/4/2022 and was last updated on 8/27/2024.

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
1101Y00000XCounselorNo
2101YP2500XCounselorProfessional88827TEXASYes

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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