Individual provider Active NPI

Sharekia Tunstull, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1144997057
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
286035 Issued in KY
Practice address
100 Executive Park Ste 103
Louisville, KY 40207-4201
Phone
(502) 975-2960
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 286035 KY Primary

Addresses

Primary practice location

100 Executive Park Ste 103
Louisville, KY 40207-4201

Mailing address

100 Executive Park Ste 103
Louisville, KY 40207-4201
Phone (502) 975-2960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharekia.tunstull@lifespringhealthsystems.org Direct

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
I20240829001547 KY Practitioner - Marriage and Family Therapist 8820537210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5600 Greenbluff Rd
Apt 202
Louisville, KY 40219-2498
Phone (502) 716-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
286035KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Increase Counseling Services Marriage & Family Therapist CurrentSince Jul 1, 2024 Accepting new patients
Counseling Association of Lexington CurrentSince Jan 1, 2026 Accepting new patients

Locations

274 Southland Dr
Ste 204
Lexington, KY 40503
Phone (859) 278-3456

1949 Goldsmith Ln
Ste 103
Louisville, KY 40218
Phone (502) 221-7892

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1144997057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE PARK STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-975-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE PARK STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-975-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNSTULL",
        "first_name": "SHAREKIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "286035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharekia.tunstull@lifespringhealthsystems.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1060 Sharon Dr",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471304522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.