Individual provider Active NPI

Allison Nicole Burdenmeyer

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1881340644
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256567 Issued in KY
Practice address
2210 Goldsmith LN Ste 100
Louisville, KY 40218-1038
Phone
(502) 365-2522
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256567 KY Primary

Addresses

Primary practice location

2210 Goldsmith LN Ste 100
Louisville, KY 40218-1038

Mailing address

2210 Goldsmith LN Ste 100
Louisville, KY 40218-1038
Phone (502) 365-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322001296 KY Practitioner - Clinical Social Worker 9032504428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Intervention Services Clinical CurrentSince Mar 4, 2022 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 10, 2025 Accepting new patients

Locations

9900 Corporate Campus Dr
Ste 3000
Louisville, KY 40223
Phone (502) 657-6013

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

2210 Goldsmith Ln
Ste 100
Louisville, KY 40218
Phone (502) 365-2522

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1881340644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-365-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-365-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDENMEYER",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.