Active NPI
Bethany Ruth Johnson, MS, CGC
- Genetic Counselor (M.S.)
- Louisville, KY
National Provider Identifier
1558047829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 3900 Kresge Way Ste 43
Louisville, KY 40207-4681 - Phone
- (502) 928-3012
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
3900 Kresge Way Ste 43
Louisville, KY 40207-4681
Mailing address
1340 S Hettema St
Yuma, AZ 85364-4317
Phone (928) 750-2443
Other practice location 1
1700 Nicholasville Rd Ste 703
Lexington, KY 40503-1467
Phone (502) 928-3012
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1558047829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 S HETTEMA ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644317",
"telephone_number": "928-750-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY STE 43",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074681",
"telephone_number": "502-928-3012"
}
],
"practiceLocations": [
{
"address_1": "1700 Nicholasville Rd Ste 703",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031467",
"country_code": "US",
"telephone_number": "502-928-3012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BETHANY",
"middle_name": "RUTH",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 13, 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.