MEDICARE: EARL JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	302665	KY

General Provider Information

NPI Number	:	1225995509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EARL JOHNSON

Provider Business Mailing Address
First Line	:	3613 LEISURE CREEK CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2902
Country	:	US
Telephone Number	:	859-309-2877
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 CODELL DR STE 230
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1178
Country	:	US
Telephone Number	:	859-309-2877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

Similar Medicare Providers

1639000813 — HANNELORE ELLIOTT LPCA
Practice Location Address:

80 CODELL DR STE 230
LEXINGTON, KY
40509-1178

Practice Phone: 859-309-2877
Practice Fax:

1730227364 — CARLA CASSADA LEMON M.S.W., L. C.S.W.
Practice Location Address:

80 CODELL DR , STE 220
LEXINGTON, KY
40509-1178

Practice Phone: 859-279-4462
Practice Fax: 859-203-0795

1891337622 — MICHAEL BENNETT
Practice Location Address:

80 CODELL DR STE 230
LEXINGTON, KY
40509-1178

Practice Phone: 859-309-2877
Practice Fax:

1477172054 — EVOLVE COUNSELING, LLC
Practice Location Address:

80 CODELL DR STE 220
LEXINGTON, KY
40509-1178

Practice Phone: 859-279-4462
Practice Fax: 859-203-0795

1558210948 — THE TRAUMA-INFORMED COUNSELING CENTER LLC
Practice Location Address:

80 CODELL DR STE 230
LEXINGTON, KY
40509-1178

Practice Phone: 859-309-2877
Practice Fax:

1982550513 — KARLI DOMINGO
Practice Location Address:

80 CODELL DR STE 230
LEXINGTON, KY
40509-1178

Practice Phone: 859-309-2877
Practice Fax:

Directions to “ EARL JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.