Individual provider Active NPI

Marvea Johnson, MED, ATR-BC, LPAT

  • Art Therapist
  • Louisville, KY
National Provider Identifier
1871067652
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
277581 Issued in KY
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

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-19-76062KYMDBehavior Technician
277581KYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Counseling & Consulting, LLC CurrentSince Oct 27, 2024 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.

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.

Verify at the official NPI Registry.