ELISHIA DURRETT JOHNSON (NPI# 1740843119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740843119 |
| Entity Type | Individual |
| Full Name | ELISHIA DURRETT JOHNSON |
| Credential | MED, LPCA |
| Practice Address |
12730 Townepark Way Ste 201 Louisville KY 40243-2303 |
| Mailing Address |
Po Box 32 Pewee Valley KY 40056 |
| Practice Telephone | 5025659051 |
| Mailing Telephone | 5025659051 |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
246582 | KY | Behavioral Health & Social Service Providers |
| Street Address |
12730 TOWNEPARK WAY STE 201 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265946859 | Yolonda J Armstead | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2017-11-19 |
| 1336641398 | Crashonda Duncan | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1841899036 | Minjoo Bayers | Counselor | 1400 Willow Ave Apt 1701, Louisville, KY 40204-1470 | 2020-10-20 |
| 1104425594 | Tracy Chaney Oldaker | Counselor | 1310 Mark Trail Rd, Louisville, KY 40242-3612 | 2020-10-19 |
| 1386255131 | 1st Priority Healthcare LLC | Counselor | 4229 Bardstown Rd Ste 201, Louisville, KY 40218-3286 | 2020-08-14 |
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1114537933 | Rocky Mountain Counseling Services | Counselor | 908 Main St Ste 370, Louisville, CO 80027-1867 | 2020-08-06 |
| 1205454220 | Andrew Raymond Thomas | Counselor | 302 Axis Dr Apt 301, Louisville, KY 40206-0130 | 2020-07-07 |
| 1629695481 | Christine Ann Thorp | Counselor | 1612 Cottonwood Dr Apt 10, Louisville, CO 80027-2826 | 2020-06-28 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1396361523 | Sarah Brees | Counselor | 521 E Ormsby Ave, Louisville, KY 40203-2620 | 2020-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on ELISHIA DURRETT JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.