Individual provider Active NPI

Justin Romney, PH.D., LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1316499098
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
278471 Issued in KY
Practice address
115 S Sherrin Ave Ste 4
Louisville, KY 40207-3228
Phone
(502) 325-3400
NPI assigned
Oct 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X 278471 KY Primary

Addresses

Primary practice location

115 S Sherrin Ave Ste 4
Louisville, KY 40207-3228

Mailing address

7120 Ridge Creek Rd
Louisville, KY 40291-1860
Phone (801) 205-0342

Other practice location 1

7434 S State St
Midvale, UT 84047-2014
Phone (801) 456-9955

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Simplepractice.com Direct

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
278471KYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1316499098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 RIDGE CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911860",
            "telephone_number": "801-205-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SHERRIN AVE STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073228",
            "telephone_number": "502-325-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7434 S State St",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840472014",
            "country_code": "US",
            "telephone_number": "801-456-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMNEY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "278471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "HIIPAA compliant notes software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "115 S Sherrin Ave Ste 4",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402073228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.