NPIMap

Organization Active NPI

Louisville Mindfulness Center

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1346763984
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105017 Issued in KY
Legal business name
LOUISVILLE MINDFULNESS CENTER
Practice address
503 Washburn Ave Ste 201B
Louisville, KY 40222-4798
Phone
(502) 509-9307
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Megan Bayles Bartley, LMFTNPI 1447447321
Title
Owner
Phone
(502) 509-9307

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 105017 KY Primary

Addresses

Primary practice location

503 Washburn Ave Ste 201B
Louisville, KY 40222-4798

Mailing address

4949 Brownsboro Rd # 234
Louisville, KY 40222-6424
Phone (502) 509-9307

Other identifiers 1

IdentifierTypeStateIssuer
7100387920MedicaidKY

Other names 1

  • Louisville Relationship Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

503 Washburn Ave
Ste 201B
Louisville, KY 40222
Phone (502) 509-9307

Practitioners & affiliated clinicians

Practitioners 5

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1346763984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BROWNSBORO RD # 234",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226424",
            "telephone_number": "502-509-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WASHBURN AVE STE 201B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224798",
            "telephone_number": "502-509-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE MINDFULNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "BAYLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-509-9307",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "105017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100387920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Relationship Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 11, 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.