NPIMap

Organization Active NPI

Kentucky Recovery Limited Liability Company

  • Methadone Clinic
  • Louisville, KY
National Provider Identifier
1669068193
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
KENTUCKY RECOVERY LIMITED LIABILITY COMPANY
Practice address
501 Baxter Ave
Louisville, KY 40204-1103
Phone
(502) 233-3290
Fax
(502) 470-5915
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Joseph NalleyNPI 1225583297
Title
Ceo
Phone
(502) 690-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

501 Baxter Ave
Louisville, KY 40204-1103

Mailing address

501 Baxter Ave
Louisville, KY 40204-1103
Phone (502) 233-3290

Other practice location 1

106 E Jefferson St
LA Grange, KY 40031-1445
Phone (502) 233-3290

Other names 1

  • Kentucky Recovery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnalley@kentuckymentalhealth.com Direct

National Provider Directory

National Provider Directory

Locations

106 E Jefferson St
La Grange, KY 40031
Phone (502) 233-3290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1669068193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041103",
            "telephone_number": "502-233-3290",
            "fax_number": "502-470-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041103",
            "telephone_number": "502-233-3290",
            "fax_number": "502-470-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400311445",
            "country_code": "US",
            "telephone_number": "502-233-3290",
            "fax_number": "502-470-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY RECOVERY LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "NALLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-690-1511"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnalley@kentuckymentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "501 Baxter Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kentucky Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kentucky Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 20, 2023; 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.