Julie Hicks Johnson, LPCC
Individual provider Active NPI Professional Counselor · Russellville, KY
NPI 1093863441 · NPPES record last updated Oct 14, 2023
Key facts
- NPI
- 1093863441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- KY0599 (KY)
- Practice address
- 151 W 5TH St
Russellville, KY 42276-1401 - Phone
- (270) 731-0000
- Fax
- (270) 731-0001
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
151 W 5TH St
Russellville, KY 42276-1401
Phone (270) 731-0000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228001206 | KY | Practitioner - Mental Health Counselor | 6800246141 | Practice locations: Russellville, KY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY0599 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | KY0599 | KY | Yes |
Addresses
Primary practice location
151 W 5TH St
Russellville, KY 42276-1401
Mailing address
151 W 5TH St
Russellville, KY 42276-1401
Phone (270) 731-0000
Other providers in Russellville, KY
- Varsha Humble
- Karisa Hunt
- Natalie Suzanne Hutton
- Renita D Jacobs
- Martin J Jensen
- Lindsey Anne Johnson
- Ashley N Jones
- Frank Jeffrey Jones
- Keith A Jones
- Pamela Young Jones
All providers in Russellville, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.