Individual provider Active NPI

Heather Patterson, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1205322922
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
284868 Issued in KY
Practice address
1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone
(502) 694-0830
NPI assigned
Jul 5, 2018
Last updated
Feb 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 267454 KY
Professional Counselor 101YP2500X 284868 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy
Louisville, KY 40217-1417

Mailing address

1000 Perthshire LN Apt 2
Louisville, KY 40222-7739
Phone (502) 794-9682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
267454KYMDMental Health Counselor
284868KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Within: Child and Adult Therapy Services, LLC CurrentSince Mar 3, 2024 Accepting new patients
Kentucky Counseling Center, LLC Professional CurrentSince Jan 1, 2023 Accepting new patients
Kentucky Association for Behavior Interventions Past Accepting new patients

Locations

1169 Eastern Pkwy
Louisville, KY 40217
Phone (502) 242-9091

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1205322922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PERTHSHIRE LN APT 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227739",
            "telephone_number": "502-794-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-694-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "HEATHER",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "267454",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "284868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.