Organization Active NPI

Oak & Associates, LLC

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1487957130
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104010 Issued in KY
Legal business name
OAK & ASSOCIATES, LLC
Practice address
2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038
Phone
(502) 792-0667
Fax
(502) 416-0467
NPI assigned
Dec 17, 2010
Last updated
Jun 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Authorized official

Name
Dr. Charles Shawn Oak, LMFT, LCSWNPI 1861529141
Title
President/Ceo
Phone
(502) 792-0667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 33006299A IN
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0750 KY
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 35001769A IN
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 104010 KY Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038

Mailing address

3303 Audubon Ridge Dr
Louisville, KY 40213-1022
Phone (502) 594-2829

Other identifiers 1

IdentifierTypeStateIssuer
7100463700MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address csoak@oabhc.com Health Information Exchange (HIE)
Direct Messaging Address csoak@oabhc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2210 Goldsmith Ln
Ste 104
Louisville, KY 40218
Phone (502) 792-0667

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1487957130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 AUDUBON RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131022",
            "telephone_number": "502-594-2829",
            "fax_number": "502-416-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-792-0667",
            "fax_number": "502-416-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "OAK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "502-792-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006299A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0750",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001769A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "104010",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100463700",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csoak@oabhc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA/HITECH Compliant Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email, pdf, csv, excel, doc files",
            "address_1": "2210 Goldsmith Ln Ste 104",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csoak@oabhc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2210 Goldsmith Ln Ste 104",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 29, 2019; 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.