Individual provider Active NPI

Kristine M Johnson, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1851960967
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
260013 Issued in KY
Practice address
13000 Equity PL Ste 106
Louisville, KY 40223-3976
Phone
(502) 930-9252
NPI assigned
Jun 22, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 260013 KY Primary

Addresses

Primary practice location

13000 Equity PL Ste 106
Louisville, KY 40223-3976

Mailing address

13000 Equity PL Ste 106
Louisville, KY 40223-3976
Phone (502) 930-9252

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
260013KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy LLC Marriage & Family Therapist CurrentSince Jun 27, 2021 Accepting new patients

Locations

13000 Equity Pl
Ste 106
Louisville, KY 40223
Phone (502) 341-2411

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1851960967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PL STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233976",
            "telephone_number": "502-930-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PL STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233976",
            "telephone_number": "502-930-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "260013",
            "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 Nov 3, 2021; 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.