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Katelyn Johnson

Counselor β€’ Phoenix, AZ

Active NPI 1831670199 Individual Practitioner Female Practitioner
Practice location in NPPES

610 E Baseline Rd Ste 5
Phoenix, AZ 850426536

Call 6022307373 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

610 E Baseline Rd Ste 5

Phoenix, AZ 850426536

Telephone 6022307373
Organization at the Same NPPES Address or Phone
Denova Collaborative Health, Llc Facility NPI 1710283593

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Minneapolis, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Katelyn Johnson as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

262 active clinicians are listed under Counselor with a practice address in Phoenix, AZ (1,161 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

2.3% of these 262 clinicians have the CMS telehealth indicator.

5% of these 262 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-08
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2000 Aldrich Ave S

Minneapolis, MN 554053003

Phone: 6122238898

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Olivia Abuhl , PA-C

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1003539842

Physician Assistant (Certified)

Dr. Michelle Cator , DNP, FNP-C

Nurse Practitioner - Family

NPI 1114401049

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Cathy Kaplicki , NP

Nurse Practitioner

NPI 1033142666

Nurse Practitioner

Dr. Amanda Keenhold , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013248699

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Dr. Rosine Oriabure , DNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083268874

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Jesus Prado , DNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023620473

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 08, 2023

Registered at 610 E BASELINE RD STE 5, PHOENIX, AZ 850426536 (Tel: 6022307373)

πŸ“
Updated Business Mailing Address December 08, 2023

Registered at 3101 N CENTRAL AVE STE 550, PHOENIX, AZ 850122635 (Tel: 6022307373)

βœ…
NPI Profile Active August 24, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 24, 2018

Registered at 2000 ALDRICH AVE S, MINNEAPOLIS, MN 554053003 (Tel: 6122238898)

πŸ“
Business Mailing Address (Initial Record) August 24, 2018

Registered at 1588C EUSTIS ST APT 212, SAINT PAUL, MN 551081239

πŸ‘€
Provider Name / Credentials (Initial Record) August 24, 2018

Recorded as KATELYN JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2018

Counselor

🟒
Initial NPI Registration & Enumeration August 24, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831670199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2018
Last Update: December 08, 2023
Sole Proprietor: No

Mailing Address

3101 N Central Ave Ste 550

Phoenix, AZ 850122635

Phone: 6022307373

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.