Individual provider Active NPI

Brenda S Shell, MA, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1609942887
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106668 Issued in KY
Practice address
13000 Equity Place
Ste 106
Louisville, KY 40223-3976
Phone
(502) 341-2411
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002033A IN
Marriage & Family Therapist 106H00000X MFC 40254 (INACTIVE) CA
Marriage & Family Therapist 106H00000X 106668 KY Primary

Addresses

Primary practice location

13000 Equity Place
Ste 106
Louisville, KY 40223-3976

Mailing address

PO Box 436046
Louisville, KY 40253-6046
Phone (502) 341-2411

Other practice location 1

125 S Main Cross St
Louisa, KY 41230-1065
Phone (888) 351-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MO, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260408003561 IN Practitioner - Marriage and Family Therapist 2163997099 Reassigns benefits to 1 organization
I20260408003683 MO Practitioner - Marriage and Family Therapist 2163997099 Reassigns benefits to 1 organization
I20260410000467 KY Practitioner - Marriage and Family Therapist 2163997099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 40254 (INACTIVE)CAMDMarriage & Family Therapist
35002033AINMDMarriage & Family Therapist
106668KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Counseling Associates, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1609942887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436046",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402536046",
            "telephone_number": "502-341-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 EQUITY PLACE",
            "address_2": "STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233976",
            "telephone_number": "502-341-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301065",
            "country_code": "US",
            "telephone_number": "888-351-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELL",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002033A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40254 (INACTIVE)",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "106668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.