Organization Active NPI

Wellside Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1003712928
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLSIDE THERAPY LLC
Practice address
11902 Seatonville Rd
Louisville, KY 40291-3745
Phone
(715) 554-0887
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Brittany Richardson
Title
Clinical Mental Health Counselor
Phone
(248) 403-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

11902 Seatonville Rd
Louisville, KY 40291-3745

Mailing address

11902 Seatonville Rd
Louisville, KY 40291-3745
Phone (248) 403-0442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1003712928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 SEATONVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913745",
            "telephone_number": "248-403-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11902 SEATONVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913745",
            "telephone_number": "715-554-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSIDE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "248-403-0442"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.