Individual provider Active NPI

Joseph Lynch

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1962175166
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
246187 Issued in KY
Practice address
1015 Dorsey LN
Louisville, KY 40223-2612
Phone
(502) 438-9639
NPI assigned
Jul 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 246187 KY Primary

Addresses

Primary practice location

1015 Dorsey LN
Louisville, KY 40223-2612

Mailing address

122 Crews Dr
Louisville, KY 40218-4012
Phone (502) 802-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240212004231 KY Practitioner - Mental Health Counselor 5597108092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Meridian Behavioral Health IncGroup PAC ID 6709149321, 17 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite 419
Louisville, KY 40207-4837
Phone (502) 409-6993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
246187KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Maryhurst, Inc. Past Accepting new patients

Locations

4010 DuPont Cir
Ste 419
Louisville, KY 40207
Phone (502) 409-6993

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1962175166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CREWS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184012",
            "telephone_number": "502-802-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DORSEY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232612",
            "telephone_number": "502-438-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "246187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.