Active NPI
Johnathan Lucas Bennett, CADCA I
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
National Provider Identifier
1710845151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 301969
- Practice address
- 1675 Story Ave
Louisville, KY 40206-1739 - Phone
- (502) 749-6344
- Fax
- (502) 749-6344
- NPI assigned
- Jan 14, 2026
- Last updated
- Jan 14, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 301969 | KY | Primary |
| Nurse's Aide | 376K00000X | 4035841 | KY |
Addresses
Primary practice location
1675 Story Ave
Louisville, KY 40206-1739
Mailing address
1675 Story Ave
Louisville, KY 40206-1739
Phone (502) 749-6344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4035841 | Other | KY | SRNA |
| 301969 | Other | KY | CADCA |
Other names 1
- Mr. Lucas Lucas Bennett
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
| License | State | Type | Specialty |
|---|---|---|---|
| 301969 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 4035841 | KY | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Vision for You Inc | Addiction (Substance Use Disorder) | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chase M Daub Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1669241873
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1710845151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 STORY AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061739",
"telephone_number": "502-749-6344",
"fax_number": "502-749-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 STORY AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061739",
"telephone_number": "502-749-6344",
"fax_number": "502-749-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOHNATHAN",
"middle_name": "LUCAS",
"name_prefix": "Mr.",
"credential": "CADCA I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "301969",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "KY",
"license": "4035841",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SRNA",
"identifier": "4035841",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADCA",
"identifier": "301969",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUCAS",
"last_name": "BENNETT",
"middle_name": "LUCAS",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}
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 14, 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.