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Deactivated NPI 1033873252 Deactivated / Inactive NPI Male Practitioner

Kevin W Johnson

Case Manager/Care Coordinator • Xenia, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2021
NPI Deactivation Date July 24, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Kevin Johnson was a registered Case Manager/Care Coordinator practicing in Xenia, OH. Throughout an active medical career spanning 4 years, Kevin Johnson provided care at the practice location at 36 N DETROIT ST until profile deactivation on 2025-07-24.

Practice Location & Contact Primary Location

Practice Address

36 N Detroit St

Xenia, OH 453852909

Telephone 9376104673
Fax 9377362615
Associated Practice Facility / Clinic
🏢 Lm Guirnalda, Md Llc Facility NPI 1568867265

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Xenia, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
151 Specialists

Practicing in Xenia, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Timothy Franks

Case Manager/Care Coordinator

NPI 1003536087
Stephanie Keener , PA-C

Physician Assistant - Medical

NPI 1023618428

Physician Assistant (Certified)

Kelsey Sutton

Licensed Practical Nurse

NPI 1023646205
Brandon Swan

Counselor - Addiction (Substance Use Disorder)

NPI 1023808037
Lucas Blair , LSW, LICDC

Social Worker - Clinical

NPI 1033545520

Licensed Social Worker, LICDC

Mary Yount , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1033752381

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active October 25, 2021

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2021

Registered at 36 N DETROIT ST, XENIA, OH 453852909 (Tel: 9376104673)

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Updated Business Mailing Address October 25, 2021

Registered at 3103 DIXIE HWY, HAMILTON, OH 450151653 (Tel: 5138924673)

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Provider Name / Credentials Updated October 25, 2021

Recorded as KEVIN JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration October 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033873252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2021
Last Update: October 25, 2021
Deactivation Date: July 24, 2025

Mailing Address

3103 Dixie Hwy

Hamilton, OH 450151653

Phone: 5138924673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.