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

Mrs. Kippy Johnson

Individual provider Mental Health Counselor · NPI 1619628583

Mrs. Kippy Johnson is a Mental Health Counselor in Valley Stream, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

17 W Merrick Rd
Valley Stream, NY 11580-5701
Phone: (515) 459-2920
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 P111849 (NY)

Record details

NPI number1619628583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address17 W Merrick Rd, Valley Stream, NY 11580-5701

Other providers in Valley Stream