KELSEY JOHNSON CDCAQMHS NPI 1689169419

NPI Information

NPI: 1689169419
Provider Name: KELSEY JOHNSON, CDCA,QMHS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1071 TONG HOLLOW RD
BAINBRIDGE, OH
ZIP 45612
Phone: (740) 634-3094
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Kelsey Johnson, CDCA,QMHS is an addiction (substance use disorder) counselor in Bainbridge, OH. Kelsey Johnson, CDCA,QMHS NPI is 1689169419. 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:

1071 TONG HOLLOW RD
BAINBRIDGE, OH
ZIP 45612-500
Phone: (740) 634-3094

The enumeration date for this NPI number is 6/25/2018 and was last updated on 5/12/2020.

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
1	101Y00000X	Counselor		CDCA.167279	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.167279	OHIO	Yes
3	171M00000X	Case Manager/Care Coordinator				No

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: 4/28/2024

NPI Synchronization or Removal

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