Elevated Therapeutic Solutions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEVATED THERAPEUTIC SOLUTIONS, LLC

Practice address

4169 Westport Rd Ste 120
Louisville, KY 40207-2747

Phone

(502) 333-9466

Fax

(502) 754-4413

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany FarmerNPI 1922650282

Title

Owner

Phone

(512) 284-1058

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tiffany Farmer, MFT-ASSOCIATE

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1922650282
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1922756758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 DRURY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292899",
            "telephone_number": "512-284-1058",
            "fax_number": "502-754-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "502-333-9466",
            "fax_number": "502-754-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-284-1058"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.