Individual provider Active NPI

John Tyler Flynn, TCADC, TCM

  • Case Manager/Care Coordinator
  • Louisville, KY
National Provider Identifier
1811607120
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
225 N Clifton Ave Ste 6
Louisville, KY 40206-2438
Phone
(502) 496-4928
NPI assigned
Nov 28, 2022
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 270902 KY
Case Manager/Care Coordinator 171M00000X KY Primary

Addresses

Primary practice location

225 N Clifton Ave Ste 6
Louisville, KY 40206-2438

Mailing address

225 N Clifton Ave Ste 6
Louisville, KY 40206-2438
Phone (502) 496-4928

Other practice location 1

506 N Main St
Nicholasville, KY 40356-1134
Phone (833) 510-4357

Other practice location 2

1618 Harrodsburg Rd
Lexington, KY 40504-3706
Phone (859) 444-5790

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
270902KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Justice Mental Health Clinic CurrentSince Mar 20, 2025 Accepting new patients

Locations

225 N Clifton Ave
Ste 6
Louisville, KY 40206
Phone (502) 496-4928

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1811607120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N CLIFTON AVE STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062438",
            "telephone_number": "502-496-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N CLIFTON AVE STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062438",
            "telephone_number": "502-496-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N Main St",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403561134",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1618 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043706",
            "country_code": "US",
            "telephone_number": "859-444-5790",
            "fax_number": "859-444-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JOHN",
        "middle_name": "TYLER",
        "credential": "TCADC, TCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "270902",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "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 Mar 15, 2025; 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.