Rachel Beanblossom
Individual provider Active NPI Marriage & Family Therapist · Louisville, KY
NPI 1417756263 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1417756263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 296785 (KY)
- Practice address
- 116 Persimmon Ridge Dr
Louisville, KY 40245-5012 - Phone
- (502) 536-8062
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296785 | KY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 296785 | KY | Yes |
Addresses
Primary practice location
116 Persimmon Ridge Dr
Louisville, KY 40245-5012
Mailing address
313 La Grange Road
PO Box: 26
Pewee Valley, KY 40056
Phone (502) 536-8062
Other providers in Louisville, KY
- Hope Ryan Bean
- Jennifer Rose Bean
- Teresa Seewer Bean
- Brian T Beanblossom
- Lyndsie Albright Beanblossom
- Nancy Beanland
- Grover Bear
- Kasie Bear
- Mina Bear
- Amy Beard
All providers in Louisville, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.