Active NPI
Mental Health and Canine Therapy
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1861201980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lydia Marie Walker, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.