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

Kim Sue Johancen

Individual provider Professional Counselor · NPI 1962874867

Kim Sue Johancen is a Mental Health Counselor in Centennial, Colorado. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
26
Licensed in
CO
In the registry since
2015

Practice location Address checks out

12835 E Arapahoe Rd Ste P-850
Centennial, CO 80112-3940
Phone: (970) 946-8737
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0003285 (CO)

Record details

NPI number1962874867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2015
Last updated in NPPESSeptember 11, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centennial