Individual provider Active NPI

Rayna Sharie Vergiels, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1629819008
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
292164 Issued in KY
Practice address
4010 Dupont Cir Ste 517
Louisville, KY 40207-4888
Phone
(502) 309-4747
NPI assigned
Jun 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 292164 KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 517
Louisville, KY 40207-4888

Mailing address

4010 Dupont Cir Ste 517
Louisville, KY 40207-4888
Phone (502) 309-4747

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
292164KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Counseling, LLC Marriage & Family Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

4010 DuPont Cir
Ste 517
Louisville, KY 40207
Phone (502) 309-4747

Organizations & group practices 1

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": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1629819008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 517",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074888",
            "telephone_number": "502-309-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 517",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074888",
            "telephone_number": "502-309-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGIELS",
        "first_name": "RAYNA",
        "middle_name": "SHARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "292164",
            "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 Jun 1, 2024; 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.