Individual provider Active NPI

Michael Bruce Taylor, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1780800334
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT0453 Issued in KY
Practice address
2303 Hurstbourne Village Dr
Ste 1100
Louisville, KY 40299-1830
Phone
(502) 387-8802
Fax
(502) 618-2875
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 MFT0453 KY Primary

Addresses

Primary practice location

2303 Hurstbourne Village Dr
Ste 1100
Louisville, KY 40299-1830

Mailing address

2303 Hurstbourne Village Dr
Ste 1100
Louisville, KY 40299-1830
Phone (502) 387-8802

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

LicenseStateTypeSpecialty
MFT0453KYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1780800334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 HURSTBOURNE VILLAGE DR",
            "address_2": "STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991830",
            "telephone_number": "502-387-8802",
            "fax_number": "502-618-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HURSTBOURNE VILLAGE DR",
            "address_2": "STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991830",
            "telephone_number": "502-387-8802",
            "fax_number": "502-618-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "MFT0453",
            "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 Oct 22, 2008; 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.