Greater Louisville Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

800150 Issued in KY

Legal business name

GREATER LOUISVILLE COUNSELING CENTER

Practice address

332 W Broadway
Suite 905
Louisville, KY 40202-2130

Phone

(502) 587-9737

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Keith L McKenzie

Title

Executive Director

Phone

(502) 587-9737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1417324922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "SUITE 905",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022130",
            "telephone_number": "502-587-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "SUITE 905",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022130",
            "telephone_number": "502-587-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LOUISVILLE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-587-9737"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "800150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.