Active NPI
Richard Carbuccia II, LPCA
- Professional Counselor
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 248570
- Practice address
- 312 S 4TH St Ste 700
Louisville, KY 40202-3046 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Jun 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 248570 | KY | Primary |
Addresses
Primary practice location
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Mailing address
609 Barret Ave
Louisville, KY 40204-1141
Other practice location 1
214 Breckenridge Ln Ste 114
Louisville, KY 40207-3868
Phone (502) 653-7211
Other practice location 2
2100 N Main St # 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1028 Barret Ave
Louisville, KY 40204-1667
Phone (502) 451-1221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248570 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Counseling, LLC | Current | Accepting new patients | |
| The Morton Center, Inc. | Current | Accepting new patients |
Locations
1028 Barret Ave
Louisville, KY 40204
Phone (502) 451-1221
802 Stone Creek Pkwy
Ste 1A
Louisville, KY 40223
Phone (502) 653-7211
214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439
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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1528180064
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1437699428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1629638408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 BARRET AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S 4TH ST STE 700",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023046",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "214 Breckenridge Ln Ste 114",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402073868",
"country_code": "US",
"telephone_number": "502-653-7211",
"fax_number": "502-416-0723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 N Main St # 304",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463071877",
"country_code": "US",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBUCCIA",
"first_name": "RICHARD",
"name_suffix": "II",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "248570",
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.