Active NPI
Ramicha T Smith, LPCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1366082059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 260993
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260993 | Other | KY | LPCC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 260993 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women in Circle Inc | Current | Accepting new patients | |
| Mindful Direction Counseling Services Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1386013001
-
- Substance Abuse Rehabilitation Facility
- Louisville, KY
- NPI 1700479201
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.