Alta Vista Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ALTA VISTA COUNSELING LLC

Practice address

130 Fairfax Ave Lowr Levelc
Louisville, KY 40207-4939

Phone

(502) 593-2618

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Southgate Clay EdingerNPI 1063249704

Title

Co-Owner

Phone

(502) 593-2618

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Southgate Clay Edinger

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1063249704
  NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1013744747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE LOWR LEVELC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-593-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE LOWR LEVELC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-593-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA VISTA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "EDINGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SOUTHGATE CLAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-593-2618"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Alsorogi, APRN
• Bahaaldin Alsoufi, MD
• Beau Alstatt, PTA
• Daniel Benjamin Alt, M.D.
• Michael Alt, DO
• Norah Altairi
• Alternative Adult Day Health Care Center
• Alternative Health Solutions LLC (BluMine Health Southwest)
• Alternative Health Solutions LLC (BMH East End)
• Alternative Services for Individuals

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.