Individual provider Active NPI

Earl Johnson

  • Marriage & Family Therapist
  • Lexington, KY
National Provider Identifier
1225995509
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
302665 Issued in KY
Practice address
80 Codell Dr Ste 230
Lexington, KY 40509-1178
Phone
(859) 309-2877
NPI assigned
Jan 7, 2026
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 302665 KY Primary

Addresses

Primary practice location

80 Codell Dr Ste 230
Lexington, KY 40509-1178

Mailing address

3613 Leisure Creek CT
Lexington, KY 40517-2902
Phone (859) 309-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313002929 KY Practitioner - Marriage and Family Therapist 9638652969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13014 W Greenfield Rd
Nine Mile Falls, WA 99026-9361

3150 Custer Dr
Suite 203
Lexington, KY 40517-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302665KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Services, LLC Marriage & Family Therapist CurrentSince Feb 24, 2026 Accepting new patients
Kentucky Services, LLC Single Specialty CurrentSince Feb 24, 2026 Accepting new patients
The Trauma-Informed Counseling Center LLC Past Accepting new patients
The Trauma-Informed Counseling Center LLC Past Accepting new patients

Locations

1000 E Lexington Ave
Ste 25
Danville, KY 40422
Phone (859) 236-7756

3150 Custer Dr
Ste 203
Lexington, KY 40517
Phone (502) 219-3488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1225995509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 LEISURE CREEK CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172902",
            "telephone_number": "859-309-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CODELL DR STE 230",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091178",
            "telephone_number": "859-309-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "302665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.