Individual provider Active NPI

Julie B Johnson, LPCC

  • Professional Counselor
  • Owensboro, KY
National Provider Identifier
1164555207
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
105826 Issued in KY
Practice address
2707 Breckenridge St
Suite 4
Owensboro, KY 42303-1385
Phone
(270) 702-0147
Fax
(270) 215-4011
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105826KYMDProfessional Counselor
169044KYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling of Owensboro PastSince Dec 17, 2020 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 105826 KY Primary
Art Therapist 221700000X 169044 KY

Addresses

NPPES NPI Registry

Primary practice location

2707 Breckenridge St
Suite 4
Owensboro, KY 42303-1385

Mailing address

2707 Breckenridge St
Suite 4
Owensboro, KY 42303-1385
Phone (270) 702-0147

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
7100285950MedicaidKY
30615058MedicaidKY

Other names 1

NPPES NPI Registry
  • Julie K Boswell Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2016.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1164555207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BRECKENRIDGE ST",
            "address_2": "SUITE 4",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031385",
            "telephone_number": "270-702-0147",
            "fax_number": "270-215-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BRECKENRIDGE ST",
            "address_2": "SUITE 4",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031385",
            "telephone_number": "270-702-0147",
            "fax_number": "270-215-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "105826",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "169044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100285950",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BOSWELL",
            "middle_name": "K",
            "credential": "LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.