Individual provider Active NPI

Julie M Barry, LMFT

  • Marriage & Family Therapist
  • Shelbyville, KY
National Provider Identifier
1780075804
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
168387 Issued in KY
Practice address
310 Main St
Shelbyville, KY 40065-1026
Phone
(502) 257-6290
Fax
(844) 684-3397
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 168387 KY Primary

Addresses

Primary practice location

310 Main St
Shelbyville, KY 40065-1026

Mailing address

1459 Woodlawn Rd
Shelbyville, KY 40065-9381
Phone (502) 257-6290

Other identifiers 1

IdentifierTypeStateIssuer
7100428320MedicaidKY

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
I20240917002475 KY Practitioner - Marriage and Family Therapist 5294276325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

310 Main St
Shelbyville, KY 40065-1026
Phone (502) 257-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168387KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Barry LMFT Marriage & Family Therapist CurrentSince Aug 2, 2024 Accepting new patients

Locations

310 Main St
Shelbyville, KY 40065
Phone (502) 257-6290

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1780075804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 WOODLAWN RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659381",
            "telephone_number": "502-257-6290",
            "fax_number": "844-684-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651026",
            "telephone_number": "502-257-6290",
            "fax_number": "844-684-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "168387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100428320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.