Organization Active NPI

Mental Health and Canine Therapy

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1861201980
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH AND CANINE THERAPY
Practice address
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Phone
(731) 803-8053
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Lydia Marie Walker, LCSWNPI 1194534289
Title
Therapist and Owner
Phone
(731) 803-8053

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096

Mailing address

1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096

Other names 1

  • Empowered Healing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1861201980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183096",
            "telephone_number": "731-803-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AND CANINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "731-803-8053",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empowered 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 May 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.