Individual provider Active NPI

Justin T Carsley

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, KY
National Provider Identifier
1013645639
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018108 Issued in KY
Practice address
7300 Woodspoint Dr
Florence, KY 41042-1543
Phone
(502) 262-2887
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018108 KY Primary

Addresses

Primary practice location

7300 Woodspoint Dr
Florence, KY 41042-1543

Mailing address

1214 Amsterdam Rd
Park Hills, KY 41011-2048
Phone (859) 486-9793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221004002172 KY Practitioner - Nurse Practitioner 4981080694 Reassigns benefits to 1 organization
I20240815003518 OH Practitioner - Nurse Practitioner 4981080694 Reassigns benefits to 2 organizations
I20240821002092 IN Practitioner - Nurse Practitioner 4981080694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

Practice addresses (Care Compare)

4900 Babson PL
Cincinnati, OH 45227-2693
Phone (513) 943-4000

7300 Woodspoint Dr
Florence, KY 41042-1543
Phone (859) 371-5731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018108KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care Services LLC CurrentSince Aug 12, 2024 Accepting new patients
PPL Therapeutic Services PLLC CurrentSince Aug 1, 2022 Accepting new patients
Exceptional Care Services LLC Past Accepting new patients

Locations

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

2640 Cold Spring Rd
Indianapolis, IN 46222
Phone (317) 923-1177

1316 N Tibbs Ave
Indianapolis, IN 46222
Phone (317) 634-8330

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

7300 Woodspoint Dr
Florence, KY 41042
Phone (859) 371-5731

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

4900 Babson Pl
Cincinnati, OH 45227
Phone (513) 272-8444

10111 Simonson Rd
Harrison, OH 45030
Phone (513) 367-7780

2159 Dogwood Ridge Rd
Wheelersburg, OH 45694
Phone (740) 574-2558

9685 Chillicothe Rd
Willoughby, OH 44094
Phone (440) 256-8100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1013645639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 AMSTERDAM RD",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410112048",
            "telephone_number": "859-486-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WOODSPOINT DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421543",
            "telephone_number": "502-262-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSLEY",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.