Organization Active NPI

Mindful Direction Counseling Services Inc

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1386013001
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL DIRECTION COUNSELING SERVICES INC
Practice address
4602 Southern Pkwy Ste 2C
Louisville, KY 40214-1442
Phone
(502) 653-7439
Fax
(855) 894-9366
NPI assigned
Sep 23, 2015
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Dr. Lete M Ansera, D.MIN, MFT, LCADCNPI 1821205865
Title
Executive Director
Phone
(502) 653-7439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 800195 KY
Community/Behavioral Health Agency 251S00000X NU 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) 653-7439

Other identifiers 1

IdentifierTypeStateIssuer
7100527180MedicaidKY

National Provider Directory

National Provider Directory

Locations

1347 S 3rd St
Ste 202
Louisville, KY 40208
Phone (502) 653-7439

4602 Southern Pkwy
Ste 2C
Louisville, KY 40214
Phone (502) 653-7439

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1386013001",
    "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": "502-653-7439"
        },
        {
            "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": "502-653-7439",
            "fax_number": "855-894-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL DIRECTION COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ANSERA",
        "authorized_official_first_name": "LETE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-653-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN, MFT, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "800195",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100527180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "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 Aug 18, 2021; 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.