NPIMap

Organization Active NPI

Crimson Dove Counseling Services Inc

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1184137440
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRIMSON DOVE COUNSELING SERVICES INC
Practice address
214 Breckenridge LN Ste 205
Louisville, KY 40207-3879
Phone
(502) 742-4014
Fax
(502) 709-4264
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Mr. Perry Blair, M. ED.NPI 1912335399
Title
Owner
Phone
(502) 742-4014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

214 Breckenridge LN Ste 205
Louisville, KY 40207-3879

Mailing address

214 Breckenridge LN Ste 205
Louisville, KY 40207-3879
Phone (502) 742-4014

Other practice location 1

1040 Monarch St Fl 3
Lexington, KY 40513-1852
Phone (270) 253-3538

National Provider Directory

National Provider Directory
Tax ID family
Crimson Dove Counseling Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1040 Monarch St
Fl 3
Lexington, KY 40513
Phone (419) 740-8400

214 Breckenridge Ln
Ste 203
Louisville, KY 40207
Phone (502) 200-9836

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1184137440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879",
            "telephone_number": "502-742-4014",
            "fax_number": "502-709-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879",
            "telephone_number": "502-742-4014",
            "fax_number": "502-709-4264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Monarch St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131852",
            "country_code": "US",
            "telephone_number": "270-253-3538",
            "fax_number": "502-709-4264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRIMSON DOVE COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-742-4014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Dec 3, 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.

Verify at the official NPI Registry.