Individual provider Active NPI

Michelle Ivy Oak, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1942841036
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
273275 Issued in KY
Practice address
2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038
Phone
(502) 792-0667
NPI assigned
Oct 1, 2019
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002218A IN
Marriage & Family Therapist 106H00000X 260180 KY
Marriage & Family Therapist 106H00000X 273275 KY Primary

Addresses

Primary practice location

2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038

Mailing address

3303 Audubon Ridge Dr
Louisville, KY 40213-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35002218AINMDMarriage & Family Therapist
260180KYMDMarriage & Family Therapist
273275KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Unscripted, LLC Marriage & Family Therapist CurrentSince Oct 6, 2019 Accepting new patients
Oak & Associates, LLC Marriage & Family Therapist PastSince Oct 6, 2019 Accepting new patients

Locations

12730 Townepark Way
Ste 205
Louisville, KY 40243
Phone (502) 777-6397

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1942841036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 AUDUBON RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-792-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "MICHELLE",
        "middle_name": "IVY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002218A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "260180",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "273275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 18, 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.