Organization Active NPI

Kentuckiana Behavioral Services LLC

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1417250077
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KENTUCKIANA BEHAVIORAL SERVICES LLC
Practice address
938 E Washington St Ste 2
Louisville, KY 40206-1634
Phone
(502) 548-1146
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Authorized official

Name
Ronald Edward Goepper
Title
Registered Agent
Phone
(502) 254-7994

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

938 E Washington St Ste 2
Louisville, KY 40206-1634

Mailing address

324 Tucker Station Rd
Louisville, KY 40243-1359
Phone (502) 254-7994

Other practice location 1

324 Tucker Station Rd
Louisville, KY 40243-1359
Phone (502) 548-1146

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768089600000",
    "number": "1417250077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 TUCKER STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431359",
            "telephone_number": "502-254-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 E WASHINGTON ST STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061634",
            "telephone_number": "502-548-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Tucker Station Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431359",
            "country_code": "US",
            "telephone_number": "502-548-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKIANA BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "GOEPPER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "502-254-7994"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2026; 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.