Individual provider Active NPI

Meredith Cundiff

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1073152708
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
261516 Issued in KY
Practice address
5115 S 3Rd St
Louisville, KY 40214-2601
Phone
(502) 233-3030
NPI assigned
Dec 28, 2019
Last updated
Dec 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 261516 KY Primary

Addresses

Primary practice location

5115 S 3Rd St
Louisville, KY 40214-2601

Mailing address

866 Ash St
Louisville, KY 40217-1202
Phone (502) 396-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20241223002995 KY Practitioner - Mental Health Counselor 3870020217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261516KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Solutions Counseling Inc Mental Health CurrentSince Nov 27, 2024 Accepting new patients

Locations

5454 New Cut Rd
Ste 3
Louisville, KY 40214
Phone (502) 333-0218

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1073152708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 ASH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171202",
            "telephone_number": "502-396-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142601",
            "telephone_number": "502-233-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "261516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.