Individual provider Active NPI

Ramicha T Smith, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1366082059
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
260993 Issued in KY
Practice address
4602 Southern Pkwy Ste 2C
Louisville, KY 40214-1442
Phone
(502) 690-2010
Fax
(855) 894-7439
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 260993 KY Primary

Addresses

Primary practice location

4602 Southern Pkwy Ste 2C
Louisville, KY 40214-1442

Mailing address

4602 Southern Pkwy Ste 2C
Louisville, KY 40214-1442
Phone (502) 690-2010

Other practice location 1

1624 S Preston St
Louisville, KY 40217-1039
Phone (502) 653-7439

Other identifiers 1

IdentifierTypeStateIssuer
260993OtherKYLPCC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL takethejourney@mindfuldirection.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
260993KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Women in Circle Inc CurrentSince Feb 1, 2021 Accepting new patients
Mindful Direction Counseling Services Inc CurrentSince Feb 21, 2021 Accepting new patients

Locations

4602 Southern Pkwy
Ste 2C
Louisville, KY 40214
Phone (502) 690-2010

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1366082059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY STE 2C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-690-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY STE 2C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-690-2010",
            "fax_number": "855-894-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171039",
            "country_code": "US",
            "telephone_number": "502-653-7439",
            "fax_number": "855-894-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAMICHA",
        "middle_name": "T",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "260993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "260993",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "takethejourney@mindfuldirection.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4602 Southern Pkwy Ste 2C",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402141442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 9, 2020; 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.