Healthcare Provider Details

I. General information

NPI: 1548193998
Provider Name (Legal Business Name): KATIE LYNN JOHNSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 COLLEGE BLVD STE 310
OVERLAND PARK KS
66210-4048
US

IV. Provider business mailing address

12318 N POMONA AVE
KANSAS CITY MO
64163-7318
US

V. Phone/Fax

Practice location:
  • Phone: 816-938-5844
  • Fax:
Mailing address:
  • Phone: 816-938-5844
  • Fax: 816-938-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05394
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: