Teddrick Gilmore

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

293857 Issued in KY

Practice address

3869 Belleau Wood Dr
Lexington, KY 40517-1859

Phone

(502) 320-7791

NPI assigned

Jul 8, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1275423428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 BELLEAU WOOD DR APT 6",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171860",
            "telephone_number": "502-320-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 BELLEAU WOOD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171859",
            "telephone_number": "502-320-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TEDDRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "293857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian S Gillispie, DO
• Ashley Gillstrap, APRN
• Nancy Leigh Gilmer, LPCC
• Parker Gilmet
• Loretta Lynn Gilmore, MSW,LCSW
• Natalie Lynn Gilpin, LCSW
• James Giltz
• Donna Gingras
• Kandi Ginn
• George W Ginter, M.D.

• Marriage & Family Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.