Active NPI
Kristin Johnson, B.A.
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1932555174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 101YM0800X
- Practice address
- 201 Mechanic St
Lexington, KY 40507-1086 - Phone
- (859) 227-8915
- NPI assigned
- May 6, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 101YM0800X | KY | Primary |
Addresses
Primary practice location
201 Mechanic St
Lexington, KY 40507-1086
Mailing address
201 Mechanic St
Lexington, KY 40507-1086
Phone (859) 227-8915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YM0800X | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1932555174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MECHANIC ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071086",
"telephone_number": "859-227-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MECHANIC ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071086",
"telephone_number": "859-227-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTIN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.