Fresh Routes Incorporated

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRESH ROUTES INCORPORATED

Practice address

3146 W Broadway
Louisville, KY 40211-1441

Phone

(502) 776-0262

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Antonio Thompson, MFTNPI 1124513734

Title

Ceo

Phone

(502) 324-2199

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Phillip Antonio Thompson, MFT

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1124513734
  NPD (past) Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1669967287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BROADWAY STE 291",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021711",
            "telephone_number": "502-608-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111441",
            "telephone_number": "502-776-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH ROUTES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-324-2199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Carissa French, PT
• James Colby French
• Tal Frenkel Rutenberg, MD
• Naomi Beth Frese
• Fresenius Medical Care Kentuckiana HT, LLC
• Fresh Start Educational and Counseling Center Inc.
• Fresh Start Recovery LLC
• Linda Marie Freudenberger, OTR/L
• Michael Earle Freville, PHDDD
• Frey Family Dentistry PSC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.