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

Kelly Kennedy-Johnson, LPCC

Individual provider Mental Health Counselor · NPI 1477256428

Kelly Kennedy-Johnson, LPCC is a Mental Health Counselor in Afton, Minnesota. Qualified in 2020, 6 years ago. Practices with Susan Borden Psych, a 10-clinician group. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

15489 45th St S
Afton, MN 55001-9681
Phone: (612) 367-6046
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC03678 (MN)

Record details

NPI number1477256428
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 26, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Susan Borden Psych — 10 clinicians
Accepts Medicare assignment Not indicated