Active NPI
Maria Cristal Encarnacion, MFT ASSOCIATE
- Family Psychologist
- Louisville, KY
National Provider Identifier
1750127361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 292957
- Practice address
- 4010 Dupont Cir Ste 130
Louisville, KY 40207-4812 - Phone
- (502) 333-9466
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 292957 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 130
Louisville, KY 40207-4812
Mailing address
4825 Sherburn LN Unit 102
Louisville, KY 40207-4121
Phone (978) 601-2620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292957 | KY | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Life Mental Health Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1417564220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1750127361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 SHERBURN LN UNIT 102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074121",
"telephone_number": "978-601-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-333-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCARNACION",
"first_name": "MARIA",
"middle_name": "CRISTAL",
"credential": "MFT ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "KY",
"license": "292957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 2, 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.