Tracey Leann Johnson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

104799 Issued in KY

Practice address

125 S Main Cross St
Louisa, KY 41230-1330

Phone

(606) 638-0938

Fax

(859) 813-5394

NPI assigned

Jan 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tracey Leann Terry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pioneer Health Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Louisa, KY
  • NPI 1235585126
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1790961795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300726",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN CROSS ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301330",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Water St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301347",
            "country_code": "US",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACEY",
        "middle_name": "LEANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000689192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "117986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100283500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "TERRY",
            "middle_name": "LEANN",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Johnson, PSS
• Michael David Johnson, PSS
• Molly Louise Johnson, PSS
• Sherry Dianne Bibbs Johnson, RN
• Tarah Johnson
• Whitney Johnson, LPCC
• Jason Mark Johnston
• Emily Jones-Gray
• Anna Jones, PSS
• Keith Jones

• Professional Counselor in Louisa, KY
• Providers in Louisa, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.