Kerry Rose Johnson
Counselor • Shelton, WA
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, Kerry Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kerry Johnson was a registered Counselor practicing in Shelton, WA. Throughout an active medical career spanning 1 years, Kerry Johnson provided care at the practice location at 307 W COTA ST until profile deactivation on 2021-08-06.
Practice Location & Contact Primary Location
307 W Cota St
Shelton, WA 985842265
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Shelton, WA
Practicing in Shelton, WA (11556 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse
Registered Nurse
Counselor
Licensed Mental Health Counselor
Counselor - Mental Health
Counselor
Counselor - Mental Health
Behavior Technician
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 06, 2021
NPI status registered as active in NPPES database
Registered at 307 W COTA ST, SHELTON, WA 985842265 (Tel: 3602058001)
Registered at 320 E BALLYCASTLE WAY, SHELTON, WA 985848596 (Tel: 3604631953)
Recorded as KERRY JOHNSON
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
320 E Ballycastle Way
Shelton, WA 985848596
Phone: 3604631953
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.