Active NPI
Brandi Whitaker, LPCC
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1093269367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 171785
- Practice address
- 1015 Dorsey LN
Louisville, KY 40223 - Phone
- (502) 245-1576
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 171785 | KY | Primary |
Addresses
Primary practice location
1015 Dorsey LN
Louisville, KY 40223
Mailing address
517 Sampson Dr
Frankfort, KY 40601-8865
Phone (502) 229-5958
Other practice location 1
1236 Paris Pike
Georgetown, KY 40324-9701
Phone (502) 370-7229
Other names 1
- Brandi Lawson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171785 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryhurst, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1851713614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1093269367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 SAMPSON DR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406018865",
"telephone_number": "502-229-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DORSEY LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40223",
"telephone_number": "502-245-1576"
}
],
"practiceLocations": [
{
"address_1": "1236 Paris Pike",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249701",
"country_code": "US",
"telephone_number": "502-370-7229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "BRANDI",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "171785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "LAWSON",
"credential": "LPCC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.