Active NPI
Michelle Ivy Oak, LMFT
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1942841036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 273275
- Practice address
- 2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038 - Phone
- (502) 792-0667
- NPI assigned
- Oct 1, 2019
- Last updated
- May 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35002218A | IN | MD | Marriage & Family Therapist |
| 260180 | KY | MD | Marriage & Family Therapist |
| 273275 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk Unscripted, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Oak & Associates, LLC | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Louisville, KY
- NPI 1073454187
-
- Marriage & Family Therapist
- Louisville, KY
- NPI 1487957130
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
- Oak Street Health Physicians Group of Kentucky, PLLC
- Oak Tree Dental PLLC (Revitalize Dental)
- Charles Shawn Oak, PHD, LMFT, LSW
- Dawn L Oak
- Devin Oak
- Chelsey Leigh Oakes, CRNA
- Oaklawn Development Operations, LLC (Elmcroft at Oaklawn)
- Teresa Lynn Oakley, LPTA
- Jessica Ann Oaks
- Charles Edwin Oates, M.D.
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.