Organization Active NPI

Black Couch Therapy, LLC

Doing business as Black Couch Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
National Provider Identifier
1205634839
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLACK COUCH THERAPY, LLC
Doing business as
Black Couch Therapy
Practice address
1860 Mellwood Ave # 194
Louisville, KY 40206-1033
Phone
(502) 424-5635
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Authorized official

Name
Ms. Kirsten Doan, LCSWNPI 1356087928
Title
Owner; Therapist
Phone
(502) 424-5635

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1860 Mellwood Ave # 194
Louisville, KY 40206-1033

Mailing address

9152 Taylorsville Rd # 266
Louisville, KY 40299-1752
Phone (502) 424-5635

Other identifiers 1

IdentifierTypeStateIssuer
7101053210MedicaidKY

Other names 1

  • Black Couch Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1860 Mellwood Ave
#194
Louisville, KY 40206
Phone (502) 424-5635

1860 Mellwood Ave
Ste 194
Louisville, KY 40206

Practitioners & affiliated clinicians

Practitioners 1

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1205634839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 TAYLORSVILLE RD # 266",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991752",
            "telephone_number": "502-424-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MELLWOOD AVE # 194",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061033",
            "telephone_number": "502-424-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK COUCH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER; THERAPIST",
        "authorized_official_telephone_number": "502-424-5635",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101053210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Couch Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 7, 2025; 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.