Individual provider Active NPI

Jermaine Damon Johnson, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1336719558
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101007494 Issued in MI
Practice address
1137 Reutlinger Ave Apt 2
Louisville, KY 40204-3307
Phone
(502) 565-5567
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 267216 KY
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 4101007494 MI Primary

Addresses

Primary practice location

1137 Reutlinger Ave Apt 2
Louisville, KY 40204-3307

Mailing address

1137 Reutlinger Ave Apt 2
Louisville, KY 40204-3307
Phone (502) 565-5567

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jermaine.johnson2@jefferson.kyschools.us Health Information Exchange (HIE)

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
267216KYMDMarriage & Family Therapist
4101007494MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Heart Therapeutic Solutions Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1336719558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 REUTLINGER AVE APT 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402043307",
            "telephone_number": "502-565-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 REUTLINGER AVE APT 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402043307",
            "telephone_number": "502-565-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERMAINE",
        "middle_name": "DAMON",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "267216",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jermaine.johnson2@jefferson.kyschools.us",
            "affiliation": "N",
            "endpointDescription": "organization email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Treatment Planning and updates",
            "address_1": "1137 Reutlinger Ave Apt 2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402043307",
            "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 Mar 30, 2026; 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.