Individual provider Active NPI

Chelsea Mitchell, PSY.D.

  • Psychologist
  • Louisville, KY
National Provider Identifier
1194156786
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
246789 Issued in KY
Practice address
9710 Park Plaza Ave Unit 204
Louisville, KY 40241-2293
Phone
(502) 618-2060
NPI assigned
Dec 6, 2013
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KY
Psychologist 103T00000X 246789 KY Primary

Addresses

Primary practice location

9710 Park Plaza Ave Unit 204
Louisville, KY 40241-2293

Mailing address

9710 Park Plaza Ave Unit 204
Louisville, KY 40241-2293
Phone (502) 618-2060

Other practice location 1

219 Pope St
Apt. 3
Louisville, KY 40206-3193
Phone (574) 532-4132

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea@kycards.com Direct

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

LicenseStateTypeSpecialty
246789KYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1194156786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 PARK PLAZA AVE UNIT 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412293",
            "telephone_number": "502-618-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PARK PLAZA AVE UNIT 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412293",
            "telephone_number": "502-618-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Pope St",
            "address_2": "Apt. 3",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402063193",
            "country_code": "US",
            "telephone_number": "574-532-4132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "246789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea@kycards.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9710 Park Plaza Ave Unit 204",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 12, 2019; 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.