Individual provider Active NPI

Grady Stewart Morgan, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1447761481
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
174865 Issued in KY
Practice address
503 Washburn Ave Ste 203
Louisville, KY 40222-4798
Phone
(502) 509-9307
NPI assigned
Oct 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 174865 KY Primary

Addresses

Primary practice location

503 Washburn Ave Ste 203
Louisville, KY 40222-4798

Mailing address

141 N Galt Ave Apt 2
Louisville, KY 40206-2309
Phone (870) 941-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
174865KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC CurrentSince Oct 10, 2024 Accepting new patients
The Shepherds New Pathways, LLC Marriage & Family Therapist CurrentSince Oct 10, 2024 Accepting new patients

Locations

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1447761481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N GALT AVE APT 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062309",
            "telephone_number": "870-941-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WASHBURN AVE STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224798",
            "telephone_number": "502-509-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GRADY",
        "middle_name": "STEWART",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "174865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.