Individual provider Active NPI

John Christopher Risner, LPCC-S

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1912409384
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
260173 Issued in KY
Practice address
3147 Custer Dr
Lexington, KY 40517-4020
Phone
(859) 813-0555
NPI assigned
Mar 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 260173 KY Primary

Addresses

Primary practice location

3147 Custer Dr
Lexington, KY 40517-4020

Mailing address

1550 Trent Blvd Apt 605
Lexington, KY 40515-1908
Phone (859) 248-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102003038 KY Practitioner - Mental Health Counselor 6204322886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1550 Trent Blvd
Apt 605
Lexington, KY 40515-1904

637 Sayre Ave
Lexington, KY 40508-2317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260173KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Therapy Group Mental Health CurrentSince Nov 25, 2025 Accepting new patients

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1912409384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TRENT BLVD APT 605",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151908",
            "telephone_number": "859-248-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 CUSTER DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174020",
            "telephone_number": "859-813-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "260173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.