Individual provider Active NPI

Franchesca Yvette Brutley, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1053923748
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
289278 Issued in KY
Practice address
914 Lily Creek Rd Ste 102
Louisville, KY 40243-2815
Phone
(502) 805-5858
Fax
(502) 805-5859
NPI assigned
Aug 23, 2020
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 289278 KY Primary

Addresses

Primary practice location

914 Lily Creek Rd Ste 102
Louisville, KY 40243-2815

Mailing address

914 Lily Creek Rd Ste 102
Louisville, KY 40243-2815
Phone (502) 377-2089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002744 KY Practitioner - Mental Health Counselor 5193161321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Illness Counseling Center LLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

13804 Lake Point Cir
Ste 101
Louisville, KY 40223
Phone (502) 245-7258

914 Lily Creek Rd
Ste 102
Louisville, KY 40243
Phone (502) 592-3583

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1053923748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 LILY CREEK RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432815",
            "telephone_number": "502-377-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 LILY CREEK RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432815",
            "telephone_number": "502-805-5858",
            "fax_number": "502-805-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTLEY",
        "first_name": "FRANCHESCA",
        "middle_name": "YVETTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "289278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.