Initiative Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INITIATIVE COUNSELING LLC

Practice address

1169 Eastern Pkwy Ste 2239
Louisville, KY 40217-1444

Phone

(502) 509-5628

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Jordan Gage, LPCCNPI 1891202818

Title

Owner

Phone

(503) 348-4640

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Gage, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1891202818

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1467271858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 2239",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171444",
            "telephone_number": "503-348-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 2239",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171444",
            "telephone_number": "502-509-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INITIATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-348-4640",
        "authorized_official_credential": "LPCC"
    },
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Ingram, CRNA
• Alyssa Paula Ingram, APRN, FNP-C
• Amy L. Ingram, MD
• Jay R Ingram
• Tramel Ingram, LPN
• Inizio Pharmacy LLC
• Injectable Consultants, LLC. (Lisa M. Williams ARNP, LLC.)
• Injury Relief Center of Louisville (Injury Relief Chiropractic and Rehab)
• Injury Relief Center of South Louisville Chiropractic & Rehab
• Injury-Care Associates and Chiropractic Center of Ky LLC

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.