IndividualActive
Kelly Johnson
NPI 1063382679 · Counselor · Glendale, AZ
Kelly Johnson is a Counselor provider in Glendale, AZ (NPI 1063382679).
Provider details
- NPI number
- 1063382679
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17505 N 79th Ave Ste 311gandc
Glendale, AZ 85308-8725
Phone: (602) 876-2029
Street-level locationGet directions
Mailing address
19865 W Monterosa St
Litchfield Park, AZ 85340-5603
Registry dates
- Enumerated
- 2025-11-08
- Last updated
- 2025-11-08
- Certified
- 2025-11-08
Frequently asked questions
- What is Kelly Johnson's NPI number?
- Kelly Johnson's National Provider Identifier (NPI) is 1063382679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Johnson's specialty?
- Kelly Johnson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Johnson located?
- Kelly Johnson's practice location on file with NPPES is 17505 N 79th Ave Ste 311gandc, Glendale, AZ 85308-8725.
- What is Kelly Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Johnson is (602) 876-2029.
- Is Kelly Johnson's NPI active?
- Yes — Kelly Johnson's NPI (1063382679) is active in the NPPES registry as of the last update on 2025-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.