MALLORY JOHNSON LPCC
NPI 1093366338
Counselor - Professional in Louisville, KY

Active since September 27, 2019
11103 PARK RD, LOUISVILLE, KY 40223(502) 753-5524 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2020, Sep 27, 2019 (2 updates tracked since 2019).

About Mallory Johnson Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY JOHNSON LPCC (NPI 1093366338) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (265944) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093366338
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALLORY JOHNSONCredential: LPCC
Location Address11103 PARK RDLouisville, KY 40223-2424
Mailing Address4536 S 3rd StLouisville, KY 40214-1930 · (859) 760-2382
Sole ProprietorNo
Enumeration DateSeptember 27, 2019
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1093366338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 265944
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 173555 (KY)
11103 PARK RD, Louisville, KY 40223

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
11103 PARK RD
LOUISVILLE, KY 40223
Social Worker (Clinical)
11103 PARK RD
LOUISVILLE, KY 40223
Residential Treatment Facility, Emotionally Disturbed Children
11103 PARK RD
LOUISVILLE, KY 40223
Social Worker (Clinical)
11103 PARK RD
LOUISVILLE, KY 40223
Social Worker (Clinical)
11103 PARK RD
LOUISVILLE, KY 40223
Marriage & Family Therapist
11103 PARK RD
LOUISVILLE, KY 40223
Social Worker (Clinical)
11103 PARK RD
LOUISVILLE, KY 40223
Psychologist
11103 PARK RD
LOUISVILLE, KY 40223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Johnson's NPI number?

The NPI number for Mallory Johnson is 1093366338. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Where is Mallory Johnson located?

Mallory Johnson practices at 11103 Park Rd, Louisville, KY 40223. The listed phone number is (502) 753-5524.

What is Mallory Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mallory Johnson was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.