Active NPI
Marta Smith McKinnon, M.ED.
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1154689115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 11-26
- Practice address
- 1700 Ups Dr Ste 107
Louisville, KY 40223-4046 - Phone
- (502) 330-4511
- Fax
- (502) 339-4513
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11-26 | KY | Primary |
Addresses
Primary practice location
1700 Ups Dr Ste 107
Louisville, KY 40223-4046
Mailing address
1000 Dorset Court
Goshen, KY 40026
Phone (502) 292-0790
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-26 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1154689115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 DORSET COURT",
"city": "GOSHEN",
"state": "KY",
"postal_code": "40026",
"telephone_number": "502-292-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 UPS DR STE 107",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234046",
"telephone_number": "502-330-4511",
"fax_number": "502-339-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "MARTA",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "11-26",
"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 Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.