KAITLYN JOHNSON (LPC) – Mental Health Counselor, NPI 1407497597
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,950 MENTAL HEALTH COUNSELOR in TX
Provider Addresses for KAITLYN JOHNSON (LPC)
4606 Fm 1960 Rd W Ste 600
Houston, TX 770694613
Phone: (281) 302-4148
Type: Location
Oxnard Street, Woodland Hills, Los Angeles, Los Angeles County, California, 91367-1604, United States
WOODLAND HILLS, CA 913677807
Phone: (818) 345-2345
Type: Mailing
2230, Saratoga Boulevard, Corpus Christi, Nueces County, Texas, 78417, United States
CORPUS CHRISTI, TX 784173400
Phone: (361) 881-4788
Type: Location
PO BOX 71029
CORPUS CHRISTI, TX 784671029
Phone:
Type: Mailing
3733 S PORT AVE
CORPUS CHRISTI, TX 784154532
Phone: (361) 886-6970
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241102000364 | I | Mental Health Counselor | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX |
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