Individual provider Active NPI

Amber Arnold Kaelin, MA, ATR-BC, LPAT

  • Art Therapist
  • Louisville, KY
National Provider Identifier
1073720413
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
KY-0138 Issued in KY
Practice address
5427 Bardstown Rd Ste 2C
Louisville, KY 40291-1968
Phone
(502) 893-4020
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X KY-0138 KY Primary

Addresses

Primary practice location

5427 Bardstown Rd Ste 2C
Louisville, KY 40291-1968

Mailing address

5427 Bardstown Rd Ste 2C
Louisville, KY 40291-1968
Phone (502) 893-4020

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
KY-0138KYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1073720413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 BARDSTOWN RD STE 2C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911968",
            "telephone_number": "502-893-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 BARDSTOWN RD STE 2C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911968",
            "telephone_number": "502-893-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELIN",
        "first_name": "AMBER",
        "middle_name": "ARNOLD",
        "credential": "MA, ATR-BC, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "KY-0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 15, 2015; 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.