Individual provider Active NPI

Brooke Lametta Johnson

  • Peer Specialist
  • Lexington, KY
National Provider Identifier
1992424493
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1177547 Issued in KY
Practice address
736 W Main St
Lexington, KY 40508-2020
Phone
(859) 285-4768
NPI assigned
Aug 26, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X KY
Peer Specialist 175T00000X 1177547 KY Primary

Addresses

Primary practice location

736 W Main St
Lexington, KY 40508-2020

Mailing address

1860 Benton PL
Lexington, KY 40505-1676
Phone (859) 285-4768

Other identifiers 1

IdentifierTypeStateIssuer
J03-973-942MedicaidKY

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
1177547KYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracys Residential Re Entry Center Inc CurrentSince Oct 9, 2022 Accepting new patients
Solenne Wellness Institute Past Accepting new patients

Locations

1365 Devonport Dr
Lexington, KY 40504
Phone (859) 229-8027

Organizations & group practices 3

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1992424493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BENTON PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051676",
            "telephone_number": "859-285-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082020",
            "telephone_number": "859-285-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BROOKE",
        "middle_name": "LAMETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1177547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J03-973-942",
            "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 Aug 13, 2026; 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.