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

Kelly Elizabeth Johnson

Individual provider Counselor · NPI 1063382679

Kelly Elizabeth Johnson is a Counselor in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17505 N 79th Ave Ste 311GANDC
Glendale, AZ 85308-8725
Phone: (602) 876-2029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1063382679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

Other providers in Glendale