Mindive

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MINDIVE

Doing business as

Mindive

Practice address

119 S. Sherrin Ave
Ste 240
Louisville, KY 40207-3237

Phone

(502) 509-6002

Fax

(502) 415-7263

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Christopher DavisNPI 1508294430

Title

Owner

Phone

(502) 645-6026

Specialties & licenses 4

Addresses

Other names 1

• Mindive Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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

• Christopher Davis

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1508294430
  Medicare reassignment NPD Authorized official
• Zakary Eugene Kendall, M.A., LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1851721757
  Medicare reassignment NPD
• Victoria Serrano, L.P.C.C. L.C.A.D.C.

  • Professional Counselor
  • Louisville, KY
  • NPI 1720111933

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1447973417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S. SHERRIN AVE",
            "address_2": "STE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073237",
            "telephone_number": "502-645-6026",
            "fax_number": "502-415-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S. SHERRIN AVE",
            "address_2": "STE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073237",
            "telephone_number": "502-509-6002",
            "fax_number": "502-415-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-645-6026"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindive",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Direction Counseling Services Inc
• Mindful Mending LLC
• Mindful Pathways PLLC
• Mindfull Healing LLC
• Mindfully, LLC
• Mindive
• Mindset Resolutions
• Paula W. Minervino, APRN
• Scott Anthony Minghine
• Andria Danielle Mingo

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.