Individual ProviderKimberly Diane JohnsonCounselorBehavioral Health & Social Service ProvidersPractice Address10845 Harney St, Omaha, NE 68154-2639(402) 916-9421PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Diane Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1437856341Provider TypeIndividualFull NameJohnson, Kimberly DianeGenderFemaleSole ProprietorNoEnumeration Date2/10/2023Last Updated2/10/2023Contact InformationPractice LocationPractice Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421FaxUnlisted FaxMailing LocationMailing Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13306Nebraska