Active NPI
Marvea Johnson, MED, ATR-BC, LPAT
- Art Therapist
- Louisville, KY
National Provider Identifier
1871067652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 277581
- Practice address
- 8401 Shelbyville Rd Ste 121
Louisville, KY 40222-5586 - Phone
- (502) 936-6546
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-76062 | KY | |
| Art Therapist | 221700000X | 277581 | KY | Primary |
| Counselor | 101Y00000X | 277581 | KY |
Addresses
Primary practice location
8401 Shelbyville Rd Ste 121
Louisville, KY 40222-5586
Mailing address
95-1017 Kuauli St Apt 122
Mililani, HI 96789-4935
Phone (502) 294-1519
Other practice location 1
95-1017 Kuauli St Apt 122
Mililani, HI 96789-4935
Phone (502) 294-1519
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-76062 | KY | MD | Behavior Technician |
| 277581 | KY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sims Counseling & Consulting, LLC | Current | Accepting new patients |
Locations
8401 Shelbyville Rd
Ste 121
Louisville, KY 40222
Phone (502) 936-6546
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1013378587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1871067652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1017 KUAULI ST APT 122",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894935",
"telephone_number": "502-294-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 SHELBYVILLE RD STE 121",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225586",
"telephone_number": "502-936-6546"
}
],
"practiceLocations": [
{
"address_1": "95-1017 Kuauli St Apt 122",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967894935",
"country_code": "US",
"telephone_number": "502-294-1519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARVEA",
"credential": "MED, ATR-BC, LPAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-19-76062",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "KY",
"license": "277581",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "277581",
"primary": false
}
],
"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 Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.