KELLY C. JOHNSON LCSW, P.L.L.C. (NPI# 1205482460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205482460 |
| Entity Type | Organization |
| Organization Name | KELLY C. JOHNSON LCSW, P.L.L.C. |
| Practice Address |
2530 Meridian Parkway Suite 300, Pbn: 3071 Durham NC 27713-5273 |
| Practice Telephone | 9194376627 |
| Practice Fax Number | 9192582490 |
| Mailing Telephone | 9194376627 |
| Mailing Fax Number | 9192582490 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | KELLY C JOHNSON (MEMBER) |
| Authorized Official Telephone | 9194376627 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1427573476 | 01 | |
| IL | STATE LICENSE | 149019599 | 01 |
| NC | STATE LICENSE | C012146 | 01 |
| Other Name | Type Code |
|---|---|
| A New Chapter Counseling Services | Doing Business As Name - Organization |
| Street Address |
2530 MERIDIAN PARKWAY SUITE 300, PBN: 3071 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1093193310 | Family Psychiatric Solutions | Clinic/Center | 5318 Highgate Dr Ste 132, Durham, NC 27713-6631 | 2015-05-07 |
| 1063792885 | Agape Learning Center | Clinic/Center | 514 N Mangum St, Durham, NC 27701-2414 | 2011-08-24 |
| 1689902223 | Quality Care Solutions Inc | Clinic/Center | 1016 Broad St, Durham, NC 27705-4144 | 2009-11-19 |
| 1245567205 | T & R Treatment Services, Inc | Clinic/Center | 2415 Presidential Dr, Bldg 204 Suite 118, Durham, NC 27703-8026 | 2009-11-12 |
| 1033212261 | Youth Quest | Clinic/Center | 1515 W Nc Highway 54 Ste 220, Durham, NC 27707-5576 | 2006-09-06 |
| 1407403850 | Triangle Child Psychology, Pllc | Clinic/Center | 1415 W Nc Highway 54 Ste 210, Durham, NC 27707-5597 | 2019-08-21 |
| 1184173437 | Robyn Claar, Ph.d., Pllc | Clinic/Center | 5015 Southpark Dr, Suite 200, Durham, NC 27713-7736 | 2016-09-28 |
| 1841454543 | Carolina Adolescent Center, Inc | Clinic/Center | 3711 University Dr Ste C, Durham, NC 27707-2654 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139398 | Improved You Services LLC | Clinic/Center | 513 Hydrangea Cir Nw, Concord, NC 28027-7256 | 2020-09-22 |
| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.