Transcendence Forge, LLC

Primary specialty

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

Legal business name

TRANSCENDENCE FORGE, LLC

Practice address

2110 Palatka Rd
Louisville, KY 40214-3314

Phone

(502) 408-3835

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Monroe HickmanNPI 1346939675

Title

Owner

Phone

(502) 408-3835

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrew Hickman

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1346939675
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1710730767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 PALATKA RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143314",
            "telephone_number": "502-408-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PALATKA RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143314",
            "telephone_number": "502-408-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENCE FORGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-408-3835",
        "authorized_official_name_prefix": "Dr."
    },
    "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": []
}

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• 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 Apr 9, 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.