Individual provider Active NPI

Maryam Z Muhammad, LCADC, LPCA

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1942486360
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
101 N 7TH St Ste 632
Louisville, KY 40202-2924
Phone
(502) 790-0095
Fax
(502) 790-0105
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

101 N 7TH St Ste 632
Louisville, KY 40202-2924

Mailing address

101 N 7TH St Ste 632
Louisville, KY 40202-2924
Phone (502) 224-6750

Other practice location 1

3717 Taylorsville Rd
Louisville, KY 40220-1333
Phone (502) 589-1100

Other practice location 2

1169 Eastern Pkwy Ste 210
Louisville, KY 40217-1417
Phone (502) 224-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • 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
I20250212002886 KY Practitioner - Mental Health Counselor 4981134426 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Outreach Intervention Center Inc Addiction (Substance Use Disorder) CurrentSince Oct 1, 2023 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Jan 13, 2025 Accepting new patients
Omni Resource Services Inc Public Health and Wellness Center CurrentSince Apr 3, 2025 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 210
Louisville, KY 40217
Phone (502) 224-6750

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

2001 W Broadway
Ste 13
Louisville, KY 40203
Phone (502) 276-1273

Organizations & group practices 3

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1942486360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 7TH ST STE 632",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022924",
            "telephone_number": "502-224-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 7TH ST STE 632",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022924",
            "telephone_number": "502-790-0095",
            "fax_number": "502-790-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3717 Taylorsville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201333",
            "country_code": "US",
            "telephone_number": "502-589-1100",
            "fax_number": "502-589-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Eastern Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171417",
            "country_code": "US",
            "telephone_number": "502-224-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "MARYAM",
        "middle_name": "Z",
        "credential": "LCADC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.