Organization Active NPI

Bluegrass Counseling Associates

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1952780074
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUEGRASS COUNSELING ASSOCIATES
Practice address
4400 Breckenridge LN Ste 100
Louisville, KY 40218-4082
Phone
(502) 777-3516
Fax
(844) 655-2282
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Curtiss L Nelson III, LCSW
Title
Owner
Phone
(502) 472-4232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4400 Breckenridge LN Ste 100
Louisville, KY 40218-4082

Mailing address

4400 Breckenridge LN Ste 100
Louisville, KY 40218-4082
Phone (502) 777-3516

National Provider Directory

National Provider Directory

Locations

4400 Breckenridge Ln
Ste 125
Louisville, KY 40218
Phone (502) 472-4232

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1952780074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184082",
            "telephone_number": "502-777-3516",
            "fax_number": "844-655-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184082",
            "telephone_number": "502-777-3516",
            "fax_number": "844-655-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CURTISS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-472-4232",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Mar 3, 2016; 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.