Organization Active NPI

Seeds of Hope Family Therapy, PLLC

  • Marriage & Family Therapist
  • Elizabethtown, KY
National Provider Identifier
1184915019
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0765 Issued in KY
Legal business name
SEEDS OF HOPE FAMILY THERAPY, PLLC
Practice address
110 Village Dr
Elizabethtown, KY 42701-2423
Phone
(270) 312-7752
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Mr. Jesse Patrick Waltz, LMFT
Title
Marriage and Family Therapist
Phone
(270) 312-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 0765 KY Primary

Addresses

Primary practice location

110 Village Dr
Elizabethtown, KY 42701-2423

Mailing address

110 Village Dr
Elizabethtown, KY 42701-2423
Phone (270) 312-7752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1184915019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VILLAGE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012423",
            "telephone_number": "270-312-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012423",
            "telephone_number": "270-312-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF HOPE FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "270-312-7752",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.