Louisville Integrated Care

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

LOUISVILLE INTEGRATED CARE

Practice address

1151 S 4TH St Ste 208
Louisville, KY 40203-3101

Phone

(502) 612-6981

NPI assigned

May 1, 2020

Last updated

Jul 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle R Hicks, CADCNPI 1154969129

Title

Owner

Phone

(502) 612-6981

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Rae Hicks, ICADC, CADC

  • Case Manager/Care Coordinator
  • Louisville, KY
  • NPI 1154969129
  NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1669093647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 S 4TH ST STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033101",
            "telephone_number": "502-612-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 S 4TH ST STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033101",
            "telephone_number": "502-612-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-612-6981",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Independent Case Management, LLC
• Louisville Infectious Disease and Internal Medicine
• Louisville Injury Clinics, Inc
• Louisville Injury, Medical and Chiropractic Center, LLC
• Louisville Inpatient Physician Services, PLLC
• Louisville Internal Medicine
• Louisville Internal Medicine & Pediatrics, LLC
• Louisville Jefferson County Metro
• Louisville Jefferson County Metro Government
• Louisville Jefferson County Metro Government (Newburg Health Clinic)

• Addiction Medicine (Family Medicine) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.