Kim Johnson, MHR, DMIN, CSAYC - Counselor in Indianapolis, IN

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Kim Johnson, MHR, DMIN, CSAYC is a Psychiatric Residential Treatment Facility based in Indianapolis, Indiana. Kim Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is 1404 S State Ave, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 783-4003.

NPI number for Kim Johnson is 1508277401 and her current mailing address is 1404 S State Ave, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508277401.

Contact Information

Kim Johnson, MHR, DMIN, CSAYC
1404 S State Ave,
Indianapolis, IN 46203-2009
(317) 783-4003
(317) 780-4810

Map and Direction


Healthcare Provider's Profile

Full NameKim Johnson
GenderFemale
SpecialityPsychiatric Residential Treatment Facility
Location1404 S State Ave, Indianapolis, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508277401
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 05/13/2014

Medical Identifiers

Medical identifiers for Kim Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508277401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
323P00000XPsychiatric Residential Treatment Facility (* (Not Available))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. Kim 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 AddressPractice Location Address
Kim Johnson, MHR, DMIN, CSAYC
1404 S State Ave,
Indianapolis, IN 46203-2009

Ph: (317) 783-4003		Kim Johnson, MHR, DMIN, CSAYC
1404 S State Ave,
Indianapolis, IN 46203-2009

Ph: (317) 783-4003

Reviews and Comments


Psychiatric Residential Treatment Facility in Indianapolis, IN


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