Louisville Expressive Therapies LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOUISVILLE EXPRESSIVE THERAPIES LLC

Practice address

1425 Story Ave Ste 8
Louisville, KY 40206-1735

Phone

(502) 509-5380

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Emily Ibershoff, LPCCNPI 1790153716

Title

Owner

Phone

(502) 509-5380

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Conrad Ibershoff, LPCC MT-BC

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1790153716
  NPD Authorized official
• Theresa Lynn Adamchik, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1700398450
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1356853063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STORY AVE STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061735",
            "telephone_number": "502-509-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STORY AVE STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061735",
            "telephone_number": "502-509-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE EXPRESSIVE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "IBERSHOFF",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-509-5380",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.