Kelly Kennedy-johnson, LPCC is a
Counselor - Mental Health based in Afton, Minnesota. Kelly Kennedy-johnson is licensed to practice in Minnesota (license number CC03678) and her current practice location is
15489 45th St S, Afton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 367-6046.
NPI number for Kelly Kennedy-johnson is 1477256428 and her current mailing address is 1308 Delaware Ave, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477256428.
Healthcare Provider's Profile
Full Name | Kelly Kennedy-johnson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 15489 45th St S, Afton, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477256428
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 03/27/2023
Medical Identifiers
Medical identifiers for Kelly Kennedy-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477256428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CC03678 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kennedy-johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Kennedy-johnson, LPCC 1308 Delaware Ave, Saint Paul, MN 55118-2063 Ph: (320) 241-7799 | Kelly Kennedy-johnson, LPCC 15489 45th St S, Afton, MN 55001-9681 Ph: (612) 367-6046 |
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