Kelly Kennedy-johnson, LPCC - Medicare Counselor in Afton, MN

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Kelly Kennedy-johnson, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Afton, Minnesota. Her current practice location is 15489 45th St S, Afton, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 367-6046.

Kelly Kennedy-johnson is licensed to practice in Minnesota (license number CC03678) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477256428.

Contact Information

Kelly Kennedy-johnson, LPCC
15489 45th St S,
Afton, MN 55001-9681
(612) 367-6046
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Kennedy-johnson
GenderFemale
SpecialityCounselor - Mental Health
Location15489 45th St S, Afton, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477256428
  • Provider Enumeration Date: 03/27/2023
  • Last Update Date: 03/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224554126
  • Enrollment ID: I20250423003444

Medical Identifiers

Medical identifiers for Kelly Kennedy-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477256428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health CC03678 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Kennedy-johnson allows following entities to bill medicare on her behalf.
Entity NameSusan Borden Psych
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780313478
PECOS PAC ID: 4688011612
Enrollment ID: O20240326001340

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kennedy-johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Kennedy-johnson, LPCC
1308 Delaware Ave,
Saint Paul, MN 55118-2063

Ph: (320) 241-7799		Kelly Kennedy-johnson, LPCC
15489 45th St S,
Afton, MN 55001-9681

Ph: (612) 367-6046

Reviews and Comments


Counselor in Afton, MN

Christopher A Percy, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 15489 45th St S, Afton, MN 55001
Phone: 651-300-1615    Fax: 651-300-2745

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.