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

Kim Johnson, MHR, DMIN, CSAYC

Individual provider Mental Health Counselor · NPI 1508277401

Kim Johnson, MHR, DMIN, CSAYC is a Mental Health Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

1404 S State Ave
Indianapolis, IN 46203-2009
Phone: (317) 783-4003
Fax: (317) 780-4810
Show map & directions

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

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1508277401
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHR , DMIN , CSAYC
Sole proprietorYes
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 13, 2014

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