Active NPI
Wendy Jo Johnson, LPCC LICENSED PROFES
- Professional Counselor
- Louisville, KY
National Provider Identifier
1801001946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0183
- Practice address
- 1711 Bardstown Rd
Seneca Office Ctr Suite 105
Louisville, KY 40205 - Phone
- (502) 452-9197
- Fax
- (812) 923-7386
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0183 | KY | Primary |
Addresses
Primary practice location
1711 Bardstown Rd
Seneca Office Ctr Suite 105
Louisville, KY 40205
Mailing address
19402 Star Ridge Road
Borden, IN 47106
Phone (812) 923-7386
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0183 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801001946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19402 STAR RIDGE ROAD",
"city": "BORDEN",
"state": "IN",
"postal_code": "47106",
"telephone_number": "812-923-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 BARDSTOWN RD",
"address_2": "SENECA OFFICE CTR SUITE 105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40205",
"telephone_number": "502-452-9197",
"fax_number": "812-923-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WENDY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "LPCC LICENSED PROFES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0183",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.