Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801090980 Individual Practitioner Female Practitioner

Kimberly Anne Johnson , LPC

Counselor • Mount Storm, WV

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson, LPC is a registered healthcare professional specializing in Counselor in Mount Storm, WV. Practice services are available at 14311 GEORGE WASHINGTON HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14311 George Washington Hwy

Mount Storm, WV 267398757

Telephone 3046937616
Fax 3046937776
Associated Practice Facility / Clinic
🏢 Grant Memorial Hospital Facility NPI 1821096637

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mount Storm, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Mount Storm, WV (519 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

CMS Verified: 2022-12-14
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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0023397001 (WV)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sarah Hunt , PA-C

Physician Assistant

NPI 1134469794

Physician Assistant (Certified)

Dr. Allan Kunkel , MD

Internal Medicine

NPI 1790785681

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 14, 2022

Registered at 14311 GEORGE WASHINGTON HWY, MOUNT STORM, WV 267398757 (Tel: 3046937616)

📍
Updated Business Mailing Address December 14, 2022

Registered at 25 W BLUEMONT ST, GRAFTON, WV 263541242 (Tel: 0432650312)

👤
Provider Name / Credentials Updated December 14, 2022

Recorded as KIMBERLY JOHNSON, LPC

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 971 HARRISON AVE, ELKINS, WV 26241 (Tel: 3046369450)

📍
Updated Business Mailing Address July 08, 2007

Registered at 971 HARRISON AVE, YOUTH HEALTH SERVICE, ELKINS, WV 26241 (Tel: 3046369450)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIM RAUSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration June 13, 2007

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: 1801090980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: December 14, 2022
Sole Proprietor: No

Mailing Address

25 W Bluemont St

Grafton, WV 263541242

Phone: 0432650312

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.