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Marquetta L Johnson , LPCC

Counselor β€’ Mayfield, KY

Active NPI 1760969455 Individual Practitioner Female Practitioner
Practice location in NPPES

1525 Cuba Rd
Mayfield, KY 420666809

Call 2702472588 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1525 Cuba Rd

Mayfield, KY 420666809

Telephone 2702472588
Fax 2702470142
Organization at the Same NPPES Address or Phone
Dr. William H. Fuller Memorial Substance Abuse Treatment Center Facility NPI 1164964201

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mayfield and Kentucky

4 active clinicians are listed under Counselor with a practice address in Mayfield, KY (1,681 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES KY 261479

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES KY 261479
Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Counselor (license number reported to NPPES: KY 261479)

πŸ‘€
Provider Name / Credentials Updated September 16, 2020

Recorded as MARQUETTA JOHNSON, LPCC

βœ…
NPI Profile Active July 25, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2018

Registered at 1525 CUBA RD, MAYFIELD, KY 420666809 (Tel: 2702472588)

πŸ“
Business Mailing Address (Initial Record) July 25, 2018

Registered at 1525 CUBA RD, MAYFIELD, KY 420666809 (Tel: 2702472588)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2018

Recorded as MARQUETTA JOHNSON, EDS, LPCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Social Worker

🟒
Initial NPI Registration & Enumeration July 25, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760969455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: April 06, 2023
Sole Proprietor: No

Mailing Address

1525 Cuba Rd

Mayfield, KY 420666809

Phone: 2702472588

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.