Individual provider Active NPI

Alexis Goldman, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1760897920
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1888 Issued in KY
Practice address
130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939
Phone
(502) 653-7211
Fax
(502) 416-0723
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1888 KY Primary

Addresses

Primary practice location

130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939

Mailing address

4979 Courtland Loop
Winter Springs, FL 32708-4030
Phone (502) 585-9444

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
I20241101001856 KY Practitioner - Mental Health Counselor 1658804380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling, LLC CurrentSince Sep 1, 2024 Accepting new patients
Bridgehaven, Inc. PastSince Feb 27, 1997 Accepting new patients
US Psychiatry PLLC Past Accepting new patients

Locations

802 Stone Creek Pkwy
Ste 1A
Louisville, KY 40223
Phone (502) 653-7211

214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439

130 Fairfax Ave
Ste Llc
Louisville, KY 40207
Phone (502) 653-7211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1760897920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 COURTLAND LOOP",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084030",
            "telephone_number": "502-585-9444",
            "fax_number": "502-416-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE STE LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ALEXIS",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.