Active NPIIndividual provider

Kelley A Johnston

Counselor, Addiction (Substance Use Disorder) in Presque Isle, Maine

NPI Number1740476159
Practice location
147 Academy St, Presque Isle, ME 04769-3101
Fax
207-764-6077
Last updated
October 7, 2019

Kelley A Johnston is a Counselor, Addiction (Substance Use Disorder) based in Presque Isle, ME. Kelley A Johnston practices in Presque Isle, ME. The NPI Number for Kelley A Johnston is 1740476159 and holds a License No. CAC3787 (ME). The current practice location address for Kelley A Johnston is 147 Academy St, Presque Isle, ME 04769-3101 and can be reached out via phone at 207-764-6825 and via fax at 207-764-6077.

Provider Profile Details

NPI Number
1740476159
Provider Name
Kelley A Johnston
Provider Entity Type
Individual
Gender
Female
Address
147 Academy St, Presque Isle, ME 04769-3101
Phone Number
207-764-6825
Fax Number
207-764-6077
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2007
Last Update Date
October 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Academy St
Presque Isle, ME 04769-3101
State
Maine
Zip
04769-3101
Phone Number
207-764-6825
Fax Number
207-764-6077
Presque Isle, ME 04769Get directions →

Provider Business Mailing Address Details

Address
Po Box 509
Presque Isle, ME 04769-0509
City
Presque Isle
State
ME
Zip
04769-0509
Phone Number
207-764-6825
Fax Number
207-764-6077

License Information

License Number (1)
CAC3787
License State (1)
ME
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
LC4577
License State (3)
ME
Taxonomy (3)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley A Johnston?

The NPI number of Kelley A Johnston is 1740476159. It was assigned on September 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelley A Johnston?

Kelley A Johnston is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC3787.

Where does Kelley A Johnston practice?

The practice location is 147 Academy St, Presque Isle, ME 04769-3101. The office can be reached at 207-764-6825 (phone) or 207-764-6077 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740476159 directly on the NPPES registry website.

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