Kelly Kennedy-Johnson, LPCC
Mental Health Counselor · Afton, MN
Kelly Kennedy-Johnson, LPCC is a mental health counselor with a practice address in Afton, Minnesota, and NPI 1477256428, issued on Mar 27, 2023. Check the license (Minnesota CC03678, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Kennedy-Johnson
- Credential
- LPCC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- CC03678 MN
Self-reported in NPPES; status is on the state search - Practice location
- 15489 45TH St S, Afton, MN 55001
- Phone
- (612) 367-6046
- Enumerated
- Mar 27, 2023
- Record last updated
- Mar 27, 2023
- Medicare enrollment
- Enrolled (PECOS I20250423003444); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,133 in Minnesota → Look up another NPI →
Also registered at 15489 45TH St S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Wyatt ColemanClinical Social Worker1164095568
- Emma LofgrenClinical Social Worker1336913573
- Christopher Percy, LPCCMental Health Counselor1356968630
- Corrin Schmidtke, MSW, LICSWClinical Social Worker1205519659
Verify Kelly Kennedy-Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license CC03678Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Susan Borden PsychSaint Paul, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Kennedy-Johnson among 4,133 mental health counselor records in Minnesota
Kelly Kennedy-Johnson, LPCC is one of 4,133 mental health counselor records with a practice address in Minnesota. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 64% of them.
- NPI issued2023 · 64% of these records are older, 24% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2020 · median 2017 among the 852 with a school on file
- Record last updated2023 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 mental health counselor records list a practice address in Afton
They are 2 of the 11 NPPES records with a practice address in Afton, and 4,133 mental health counselor records in Minnesota.
All 4,133 in Minnesota → Every provider in Afton → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Christopher Percy, LPCCAfton, MN 550011356968630
- Mena OtooBayport, MN 550031093634560
- Julianne Carlson, LPCCCambridge, MN 550081750680054
- Juli Chapeau, MACambridge, MN 550081730744830
- Mara Doran, MED, LPCCCambridge, MN 550081982113700
- Anthony ForareCambridge, MN 550081629934518
- Brian Leet, LPCCCambridge, MN 550081609912765
- Courtney PaceCambridge, MN 550081235808502
Common questions
What is Kelly Kennedy-Johnson, LPCC's NPI number?
Kelly Kennedy-Johnson, LPCC's National Provider Identifier (NPI) is 1477256428, issued on Mar 27, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Kennedy-Johnson, LPCC located?
The NPPES record lists a practice address at 15489 45TH St S, Afton, MN, 55001. Phone: (612) 367-6046. Providers update this record themselves, so call before visiting.
How can I verify Kelly Kennedy-Johnson, LPCC's license?
NPPES lists Minnesota license number CC03678, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.