Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keely Dyane Johnson, NCC, LPC

Individual provider Counselor · NPI 1679913891

Keely Dyane Johnson, NCC, LPC is a Mental Health Counselor in San Marcos, Texas. Qualified in 2005, 21 years ago. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1901 Dutton Dr Ste E
San Marcos, TX 78666-7573
Phone: (512) 396-7695
Fax: (512) 396-7633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X · Licence 61503 (TX)

Record details

NPI number1679913891
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCC , LPC
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address1901 Dutton Dr, Suite E, San Marcos, TX 78666-7573

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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