Organization Active NPI

Soar Counseling & Consulting LLC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1033761465
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOAR COUNSELING & CONSULTING LLC
Practice address
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Phone
(502) 509-7207
Fax
(502) 785-4003
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mrs. Latasha White, LCSWNPI 1568930188
Title
Therapist/Owner
Phone
(502) 876-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096

Mailing address

1604 Russell Lee Dr
Louisville, KY 40211-4304
Phone (502) 876-1445

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lwhite@soarcounselingconsulting.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190926002651 KY Part B Supplier - Clinic/Group Practice 6901136340 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1033761465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 RUSSELL LEE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402114304",
            "telephone_number": "502-876-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183096",
            "telephone_number": "502-509-7207",
            "fax_number": "502-785-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "502-876-1445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lwhite@soarcounselingconsulting.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "1949 Goldsmith Ln Ste 103",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402183096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.