Active NPI
Raeko Lee Diemer, LMFT
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1477576650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- KY-0477
- Practice address
- 7982 New la Grange Rd Ste 3
Louisville, KY 40222-4792 - Phone
- (502) 876-6106
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | KY-0477 | KY | Primary |
Addresses
Primary practice location
7982 New la Grange Rd Ste 3
Louisville, KY 40222-4792
Mailing address
210 Antler Dr
Sellersburg, IN 47172
Phone (502) 876-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0477 | KY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1477576650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ANTLER DR",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "47172",
"telephone_number": "502-876-6106",
"fax_number": "502-470-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7982 NEW LA GRANGE RD STE 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224792",
"telephone_number": "502-876-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEMER",
"first_name": "RAEKO",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "KY-0477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.