House of Demi Mental Health and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOUSE OF DEMI MENTAL HEALTH AND WELLNESS

Practice address

904 Marlows Ford Rd Apt 201
Louisville, KY 40245-4779

Phone

(502) 641-1877

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Demetria Tyrau January, LPCC-NCCNPI 1447842711

Title

Owner / Chief Executive Officer

Phone

(502) 641-1877

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Demetria Tyrau January, LPCC, NCC

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1447842711
  Medicare reassignment NPD Authorized official
• Tamika January, LPCA

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1073228094
  Medicare reassignment

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1942935341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 SHELBYVILLE RD STE 100413",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431079",
            "telephone_number": "502-641-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MARLOWS FORD RD APT 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454779",
            "telephone_number": "502-641-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF DEMI MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "JANUARY",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "TYRAU",
        "authorized_official_title_or_position": "OWNER / CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "502-641-1877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC-NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapistjanuary@houseofdemi.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails",
            "address_1": "904 Marlows Ford Rd Apt 201",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402454779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caleb Houghton, DDS
• Allison Houk
• Charles Michael Houk
• Patricia Houlden, OTR/L, DHSC
• Denise Michelle Hourigan, DMD
• House of Emily Alice & Louise
• House of Hope Kentucky Inc
• House of Mighty Men of Valor
• House of Ruth, Inc
• House of Ruth, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.