Organization Active NPI

1St Priority Healthcare LLC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1386255131
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
1ST PRIORITY HEALTHCARE LLC
Practice address
4229 Bardstown Rd Ste 201
Louisville, KY 40218-3286
Phone
(502) 286-6565
Fax
(502) 286-6565
NPI assigned
Aug 14, 2020
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Seneca G Davidson
Title
Ceo
Phone
(336) 413-8765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4229 Bardstown Rd Ste 201
Louisville, KY 40218-3286

Mailing address

1191 Salem Lake Rd
Winston Salem, NC 27107-1550
Phone (336) 413-8765

Other identifiers 1

IdentifierTypeStateIssuer
7100695520MedicaidKY

National Provider Directory

National Provider Directory

Locations

4229 Bardstown Rd
Ste 201
Louisville, KY 40218
Phone (502) 286-6565

Practitioners & affiliated clinicians

Practitioners 5

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": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1386255131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SALEM LAKE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071550",
            "telephone_number": "336-413-8765",
            "fax_number": "502-286-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183286",
            "telephone_number": "502-286-6565",
            "fax_number": "502-286-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PRIORITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SENECA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-413-8765"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100695520",
            "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 Feb 7, 2023; 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.