Individual provider Active NPI

Richard Carbuccia II, LPCA

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1629638408
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
248570 Issued in KY
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001960 KY Practitioner - Mental Health Counselor 9739612474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
The Morton Center IncGroup PAC ID 6305272279, 7 clinicians

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

LicenseStateTypeSpecialty
248570KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling, LLC CurrentSince Sep 1, 2024 Accepting new patients
The Morton Center, Inc. CurrentSince Dec 13, 2025 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.

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

Verify at the official NPI Registry.