Individual provider Active NPI

Angelina Wedding

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1356045637
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
283657 Issued in KY
Practice address
2712 Hillside Ter
Louisville, KY 40206-2513
Phone
(512) 947-9892
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 283657 KY Primary

Addresses

Primary practice location

2712 Hillside Ter
Louisville, KY 40206-2513

Mailing address

5454 New Cut Rd Ste 3
Louisville, KY 40214-4271
Phone (512) 333-0218

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
I20240102002263 KY Practitioner - Mental Health Counselor 4981054046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ava Health and Wellness PLLCGroup PAC ID 1052707999, 10 clinicians
Peaceful Solutions Counseling IncGroup PAC ID 1759818263, 3 clinicians

Practice addresses (Care Compare)

417 Benjamin LN
Suite 101
Louisville, KY 40222-4939
Phone (502) 289-9306

5454 New Cut Rd
Suite 3
Louisville, KY 40214-4271
Phone (502) 333-0218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ava Health and Wellness PLLC CurrentSince Jan 1, 2024 Accepting new patients
Peaceful Solutions Counseling Inc Professional CurrentSince Oct 14, 2024 Accepting new patients

Locations

9462 Brownsboro Rd
Louisville, KY 40241
Phone (502) 396-3320

9811 Brownsboro Rd
Ste 101
Louisville, KY 40241
Phone (502) 289-9306

5454 New Cut Rd
Ste 3
Louisville, KY 40214
Phone (502) 333-0218

417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1356045637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 NEW CUT RD STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144271",
            "telephone_number": "512-333-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 HILLSIDE TER",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062513",
            "telephone_number": "512-947-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDING",
        "first_name": "ANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "283657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.