Individual provider Active NPI

Michael David Rankin, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1578675740
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0209 Issued in KY
Practice address
2303 Hurstbourne Village Dr
Ste 1100
Louisville, KY 40299-1830
Phone
(502) 494-2929
Fax
(502) 267-7686
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0443 KY
Marriage & Family Therapist 106H00000X 0209 KY Primary

Addresses

Primary practice location

2303 Hurstbourne Village Dr
Ste 1100
Louisville, KY 40299-1830

Mailing address

2303 Hurstbourne Village Dr Ste 1100
Louisville, KY 40299-1830
Phone (502) 494-2929

Other identifiers 2

IdentifierTypeStateIssuer
0443OtherKYALCOHOL & DRUG COUNSELOR
0209OtherKYLMFT

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

LicenseStateTypeSpecialty
0443KYMDAddiction (Substance Use Disorder) Counselor
0209KYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1578675740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 HURSTBOURNE VILLAGE DR STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991830",
            "telephone_number": "502-494-2929",
            "fax_number": "502-267-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HURSTBOURNE VILLAGE DR",
            "address_2": "STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991830",
            "telephone_number": "502-494-2929",
            "fax_number": "502-267-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0443",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL & DRUG COUNSELOR",
            "identifier": "0443",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "0209",
            "state": "KY"
        }
    ],
    "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 Sep 10, 2014; 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.