Individual provider Active NPI

Scott H Kaminsky, LMFT

  • Marriage & Family Therapist
  • Jeffersonville, IN
National Provider Identifier
1619251238
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106827 Issued in KY
Practice address
3152 Country Club LN
Jeffersonville, IN 47130-7544
Phone
(732) 644-0286
NPI assigned
Sep 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204541 TX
Marriage & Family Therapist 106H00000X 35002086A IN
Marriage & Family Therapist 106H00000X 7971 SC
Marriage & Family Therapist 106H00000X MT3971 FL
Marriage & Family Therapist 106H00000X 1791 NC
Marriage & Family Therapist 106H00000X 1049 TN
Marriage & Family Therapist 106H00000X 779 KS
Marriage & Family Therapist 106H00000X 106827 KY Primary

Addresses

Primary practice location

3152 Country Club LN
Jeffersonville, IN 47130-7544

Mailing address

3152 Country Club LN
Jeffersonville, IN 47130-7544
Phone (732) 644-0286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, KY, KS, FL, TN, NC, SC8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20231121000699 IN Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
Practice locations: Jeffersonville, IN
I20240328001179 TX Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20240402000624 KY Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20241218000920 KS Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20250227002305 FL Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20260327000835 TN Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20260327001003 NC Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization
I20260331000267 SC Practitioner - Marriage and Family Therapist 3971841578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966

315 Deaderick St
FL 17
Nashville, TN 37238-3000
Phone (866) 630-0966

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106827KYMDMarriage & Family Therapist
204541TXMDOccupational Therapy Assistant
1791NCMDPhysical Therapy Assistant
7971SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Mar 18, 2024 Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Organizations & group practices 3

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1619251238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 COUNTRY CLUB LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307544",
            "telephone_number": "732-644-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 COUNTRY CLUB LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307544",
            "telephone_number": "732-644-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204541",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002086A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7971",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3971",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1791",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1049",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "779",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "106827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.