Individual provider Active NPI

Floyd Wallace Cole, PHD

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1447434972
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
275501 Issued in KY
Practice address
7984 New la Grange Rd
Louisville, KY 40222-4718
Phone
(502) 426-2777
Fax
(502) 426-2776
NPI assigned
Dec 19, 2007
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC14203 DC
Mental Health Counselor 101YM0800X 2334 TN
Clinical Psychologist 103TC0700X 99081736A IN
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 275501 KY Primary

Addresses

Primary practice location

7984 New la Grange Rd
Louisville, KY 40222-4718

Mailing address

7984 New la Grange Rd
Louisville, KY 40222-4718
Phone (502) 426-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220207002117 KY Practitioner - Clinical Psychologist 5799039079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PRC14203DCMDMental Health Counselor
99081736AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
12 Sherpas, PLLC Clinical CurrentSince Oct 30, 2021 Accepting new patients
Amy B. Greenamyer, PHD, PLLC Single Specialty Past Accepting new patients

Locations

7984 New La Grange Rd
Louisville, KY 40222
Phone (502) 426-2777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1447434972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 NEW LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224718",
            "telephone_number": "502-426-2777",
            "fax_number": "502-426-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 NEW LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224718",
            "telephone_number": "502-426-2777",
            "fax_number": "502-426-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "FLOYD",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14203",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2334",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "99081736A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "275501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.