Organization Active NPI

Safe Space LLC

  • Multi-Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1487419180
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SAFE SPACE LLC
Practice address
1467 S 9TH St
Louisville, KY 40208-2254
Phone
(502) 618-0835
Fax
(502) 665-0500
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Authorized official

Name
Cameron Brown
Title
Ceo
Phone
(920) 252-9024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1467 S 9TH St
Louisville, KY 40208-2254

Mailing address

1467 S 9TH St
Louisville, KY 40208-2254
Phone (502) 618-0835

National Provider Directory

National Provider Directory

Locations

1028 Barret Ave
Louisville, KY 40204
Phone (502) 451-1221

1467 S 9th St
Louisville, KY 40208
Phone (502) 496-4545

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746835200000",
    "number": "1487419180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 S 9TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082254",
            "telephone_number": "502-618-0835",
            "fax_number": "502-665-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 S 9TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082254",
            "telephone_number": "502-618-0835",
            "fax_number": "502-665-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-252-9024"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 May 10, 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.

Verify at the official NPI Registry.