Individual provider Active NPI

Kandace Marie Barkham, LCSW, LCAC, LCADC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1063135473
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
272878 Issued in KY
Practice address
7549 Manslick Rd
Louisville, KY 40214-4182
Phone
(502) 408-5567
NPI assigned
Sep 21, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001717A IN
Addiction (Substance Use Disorder) Counselor 101YA0400X 272878 KY
Clinical Social Worker 1041C0700X 257332 KY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 272878 KY
Substance Abuse Rehabilitation Facility 324500000X 272878 KY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 272878 KY Primary

Addresses

Primary practice location

7549 Manslick Rd
Louisville, KY 40214-4182

Mailing address

7549 Manslick Rd
Louisville, KY 40214-4182
Phone (502) 408-5567

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kandace@sublimehealingllc.com Direct
Direct Messaging Address kandace@sublimehealingllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001717AINMDAddiction (Substance Use Disorder) Counselor
272878KYMDSubstance Use Disorder Rehabilitation Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Inc Multi-Specialty Current Accepting new patients
Communicare Inc CurrentSince Jun 27, 2024 Accepting new patients
Sublime Healing LLC Clinical CurrentSince Apr 1, 2024 Accepting new patients
Communicare Inc CurrentSince Jun 27, 2024 Accepting new patients

Locations

107 Cranes Roost Ct
Elizabethtown, KY 42701

1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419

8134 New La Grange Rd
Ste 228
Louisville, KY 40222
Phone (502) 298-4950

Organizations & group practices 4

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1063135473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7549 MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144182",
            "telephone_number": "502-408-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7549 MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144182",
            "telephone_number": "502-408-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHAM",
        "first_name": "KANDACE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001717A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "272878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257332",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KY",
            "license": "272878",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": "272878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "272878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kandace@sublimehealingllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7549 Manslick Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402144182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kandace@sublimehealingllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7549 Manslick Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402144182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.