Individual provider Active NPI

Karen Eleanor Sheets-Mobley, LCSW, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1720117633
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0813 Issued in KY
Practice address
4229 Bardstown Rd Ste 204
Louisville, KY 40218-4271
Phone
(502) 373-6604
Fax
(502) 237-6617
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3707 KY
Marriage & Family Therapist 106H00000X 0813 KY Primary

Addresses

Primary practice location

4229 Bardstown Rd Ste 204
Louisville, KY 40218-4271

Mailing address

3044 Bardstown Rd # 235
Louisville, KY 40205-3020
Phone (502) 640-9508

Other names 1

  • Ms. Karen Sheets Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620002381 KY Practitioner - Clinical Social Worker 2769994243 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0813KYMDProfessional Counselor
3707KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1720117633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 BARDSTOWN RD # 235",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053020",
            "telephone_number": "502-640-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184271",
            "telephone_number": "502-373-6604",
            "fax_number": "502-237-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS-MOBLEY",
        "first_name": "KAREN",
        "middle_name": "ELEANOR",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3707",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SHEETS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.