Organization Active NPI

Sublime Healing LLC

Doing business as Sublime Healing

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1811741887
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUBLIME HEALING LLC
Doing business as
Sublime Healing
Practice address
8134 New la Grange Rd Ste 228
Louisville, KY 40222-4678
Phone
(502) 408-5677
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Kandace M Barkham, LCSW, LCADCNPI 1063135473
Title
Owner
Phone
(502) 408-5567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

8134 New la Grange Rd Ste 228
Louisville, KY 40222-4678

Mailing address

7549 Manslick Rd
Louisville, KY 40214-4182
Phone (502) 408-5567

Other practice location 1

7549 Manslick Rd
Louisville, KY 40214-4182
Phone (502) 408-5567

Other identifiers 1

IdentifierTypeStateIssuer
7100914830MedicaidKY

Other names 1

  • Sublime Healing Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kandace@sublimehealingllc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8134 New La Grange Rd
Ste 228
Louisville, KY 40222
Phone (502) 298-4950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1811741887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7549 MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144182",
            "telephone_number": "502-408-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 NEW LA GRANGE RD STE 228",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224678",
            "telephone_number": "502-408-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7549 Manslick Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402144182",
            "country_code": "US",
            "telephone_number": "502-408-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBLIME HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "BARKHAM",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-408-5567",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100914830",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kandace@sublimehealingllc.com",
            "affiliation": "N",
            "endpointDescription": "kandace@sublimehealingllc.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7549 Manslick Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402144182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sublime Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sublime Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 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.

Verify at the official NPI Registry.