Active NPI
Kristina Nichole Johnson
- Mental Health Counselor
- Louisa, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 286637
- Practice address
- 125 S Main Cross St
Louisa, KY 41230-1065 - Phone
- (606) 638-0938
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 286637 | KY | Primary |
| Mental Health Counselor | 101YM0800X | 2025033636 | MO |
Addresses
Primary practice location
125 S Main Cross St
Louisa, KY 41230-1065
Mailing address
125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938
Other practice location 1
203 S Water St
Louisa, KY 41230-1347
Phone (606) 649-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Mental Health | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Current | Accepting new patients | |
| Flourish Behavioral Health | Mental Health | Current | Accepting new patients |
| In Full Bloom Counseling | Mental Health | Current | Accepting new patients |
Locations
2780 New Holt Rd
Ste D
Paducah, KY 42001
1831 Broadway St
Cape Girardeau, MO 63701
639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000
1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Cape Girardeau, MO
- NPI 1154207231
-
- Mental Health Counselor
- Cape Girardeau, MO
- NPI 1871372326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1184975682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S MAIN CROSS ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301330",
"telephone_number": "606-638-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S MAIN CROSS ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301065",
"telephone_number": "606-638-0938"
}
],
"practiceLocations": [
{
"address_1": "203 S Water St",
"address_purpose": "LOCATION",
"city": "Louisa",
"state": "KY",
"postal_code": "412301347",
"country_code": "US",
"telephone_number": "606-649-2211",
"fax_number": "606-638-1399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTINA",
"middle_name": "NICHOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "286637",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2025033636",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.