Southeast Professional Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

KY-06-035 Issued in KY

Legal business name

SOUTHEAST PROFESSIONAL COUNSELING

Practice address

920 Blankenbaker Pkwy
Louisville, KY 40243-1845

Phone

(502) 253-8425

Fax

(502) 253-8433

NPI assigned

May 23, 2007

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Wood, MA CACDNPI 1265642763

Title

Center Director

Phone

(502) 253-8425

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Christopher Wood, MA CADC

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
  • NPI 1265642763
  NPD (past) Authorized official
• Robin Corinne Hord, LMFT, LCSW

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1376743336
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1881804466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BLANKENBAKER PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431845",
            "telephone_number": "502-253-8425",
            "fax_number": "502-253-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BLANKENBAKER PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431845",
            "telephone_number": "502-253-8425",
            "fax_number": "502-253-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "502-253-8425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CACD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "KY-0620",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-06-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Louisville Pediatrics PSC
• Adam J Southall, D.P.T.
• Kiley Katherine Southall, MD
• William Robert Southall
• Tabitha Southard
• Southend Gastroenterology Associates PLLC
• Rachel Alleene Southerland
• Southern Emergency Medical Specialists, P.S.C.
• Southern Harmony Medical, PLLC
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.