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

Kelly Lynn Johnson

Individual provider Case Manager/Care Coordinator · NPI 1578426920

Kelly Lynn Johnson is a Case Manager/Care Coordinator in Fayetteville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

19051 Woodward Rd
Fayetteville, OH 45118-8467
Phone: (513) 706-3306
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.007197 (OH)

Record details

NPI number1578426920
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address19051 Woodward Rd, Fayetteville, OH 45118-8467