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NPI Code Detail

MEDICARE: KIANNI JOHNSON LMHC

MEDICARE: KIANNI JOHNSON LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor016172NY

General Provider Information

NPI Number : 1518855998
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANNI JOHNSON LMHC
Provider Business Mailing Address
First Line : 300 CADMAN PLZ W
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-3229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3512 QUENTIN RD STE 110
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4245
Country : US
Telephone Number : 888-515-3834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2025
Last Update Date : 01/29/2026

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