Individual provider Active NPI

Matthew Allen Grammer, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1356787808
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1939 Goldsmith LN
Suite 120
Louisville, KY 40218-2006
Phone
(502) 252-1865
Fax
(502) 631-9660
NPI assigned
May 10, 2013
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 NU Primary

Addresses

Primary practice location

1939 Goldsmith LN
Suite 120
Louisville, KY 40218-2006

Mailing address

1939 Goldsmith LN
Suite 120
Louisville, KY 40218-2006
Phone (502) 252-1865

Other identifiers 3

IdentifierTypeStateIssuer
7100397670MedicaidKY
7100343850MedicaidKY
7100342240MedicaidKY

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
I20240116000939 KY Practitioner - Mental Health Counselor 9133473838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness School LLC CurrentSince Jan 1, 2024 Accepting new patients
Kentucky Counseling Center, LLC Professional CurrentSince Aug 6, 2014 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

1939 Goldsmith Ln
Ste 120
Louisville, KY 40218
Phone (502) 252-1865

1001 Gibson Bay Dr
Ste 201
Richmond, KY 40475

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1356787808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN",
            "address_2": "SUITE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182006",
            "telephone_number": "502-252-1865",
            "fax_number": "502-631-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN",
            "address_2": "SUITE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182006",
            "telephone_number": "502-252-1865",
            "fax_number": "502-631-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMER",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100397670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100343850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100342240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.