Kelly Kennedy-johnson, LPCC - Counselor in Afton, MN

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.

Contact Information

Kelly Kennedy-johnson, LPCC
15489 45th St S,
Afton, MN 55001-9681
(612) 367-6046
Not Available

Healthcare Provider's Profile

Full NameKelly Kennedy-johnson
GenderFemale
SpecialityCounselor - Mental Health
Location15489 45th St S, Afton, Minnesota
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1477256428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - 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 AddressPractice 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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› Verified 5 days ago


Counselor in Afton, MN

Jacqueline Ruth Smalley, LPCC, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 15489 45th St S, Afton, MN 55001
Phone: 612-888-3433    

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