Individual provider Active NPI

Dave Edward Harmon

  • Counselor
  • Louisville, KY
National Provider Identifier
1245376912
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
418 PRO GAMBL, ACGCC Issued in KY
Practice address
4010 Dupont Cir
Suite 226
Louisville, KY 40207-4812
Phone
(502) 896-8006
NPI assigned
Jan 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 74 DOM VIOLENCE KY
Counselor 101Y00000X 32 SEX OFFENDER COUN KY
Counselor 101Y00000X 418 PRO GAMBL, ACGCC KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0037 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 8027 NADAC KY
Clinical Social Worker 1041C0700X 290 KY

Addresses

Primary practice location

4010 Dupont Cir
Suite 226
Louisville, KY 40207-4812

Mailing address

4010 Dupont Cir
Suite 226
Louisville, KY 40207-4812
Phone (502) 896-8006

Other identifiers 7

IdentifierTypeStateIssuer
418OtherKYNATIONAL, COMP GAMBLING
290OtherKYLCSW
74OtherKYDOMESTIC VIOLENCE COUNSEL
32OtherKYSEX OFFENDER COUNSELOR
OO37OtherKYCADC, CHEMICAL DEP
8207OtherKYNADAC CHEM DEP, NATION
90208OtherKYNATIONAL- NADAC

Other names 1

  • Dave Harmon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231000769 KY Practitioner - Clinical Social Worker 2567764988 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32 SEX OFFENDER COUNKYMDCounselor
418 PRO GAMBL, ACGCCKYMDCounselor
74 DOM VIOLENCEKYMDCounselor
8027 NADACKYMDAddiction (Substance Use Disorder) Counselor
290KYMDClinical Social Worker
0037KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Remind Health Group, LLC Addiction (Substance Use Disorder) CurrentSince Apr 1, 2022 Accepting new patients
Alfred L.Perkins, PSC Clinical Past Accepting new patients

Locations

1939 Goldsmith Ln
Ste 117
Louisville, KY 40218
Phone (502) 381-9053

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245376912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE 226",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-896-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE 226",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-896-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "DAVE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "74 DOM VIOLENCE",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "32 SEX OFFENDER COUN",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "418 PRO GAMBL, ACGCC",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0037",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "8027 NADAC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL, COMP GAMBLING",
            "identifier": "418",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "290",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMESTIC VIOLENCE COUNSEL",
            "identifier": "74",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEX OFFENDER COUNSELOR",
            "identifier": "32",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC, CHEMICAL DEP",
            "identifier": "OO37",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NADAC CHEM DEP, NATION",
            "identifier": "8207",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL- NADAC",
            "identifier": "90208",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "HARMON",
            "credential": "LCSW, CADC, ICADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.