Active NPI
Len Timberlake, MSSW
- Mental Health Counselor
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 460 Spring St
Jeffersonville, IN 47130-3452 - Phone
- (812) 280-2080
- NPI assigned
- Dec 4, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
460 Spring St
Jeffersonville, IN 47130-3452
Mailing address
5090 Main St SE
Elizabeth, IN 47117-9016
Phone (812) 969-2753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Louisville School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 State St
Suite 248
New Albany, IN 47150-6804
Phone (812) 542-4921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients |
Locations
1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281
460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1919 State St
Ste 248
New Albany, IN 47150
Phone (812) 945-7972
2820 Grant Line Rd
Ste 10
New Albany, IN 47150
2604 Charlestown Rd
New Albany, IN 47150
Phone (812) 704-5095
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
Organizations & group practices 5
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
- Jeffersonville, IN
- NPI 1851489942
-
- Community/Behavioral Health Agency
- Dale, IN
- NPI 1639029283
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1407091457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5090 MAIN ST SE",
"city": "ELIZABETH",
"state": "IN",
"postal_code": "471179016",
"telephone_number": "812-969-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303452",
"telephone_number": "812-280-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBERLAKE",
"first_name": "LEN",
"name_prefix": "Ms.",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.