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

Mr. Kevin A. Johnson, LMFT, LADC, CTP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154941474

Mr. Kevin A. Johnson, LMFT, LADC, CTP is a Marriage and Family Therapist in Oakdale, Minnesota. Qualified in 2019, 7 years ago. Practices with Optimal Brain Mn PLLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

992 Inwood Ave N
Oakdale, MN 55128-6625
Phone: (612) 842-9814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4354 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305116 (MN)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1154941474
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT , LADC , CTP
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optimal Brain Mn Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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