Individual provider Active NPI

Magdalen K Mekoh, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1972387991
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4008073 Issued in KY
Practice address
9850 Von Allmen CT Ste 201
Louisville, KY 40241-2855
NPI assigned
Aug 21, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4008073 KY Primary

Addresses

Primary practice location

9850 Von Allmen CT Ste 201
Louisville, KY 40241-2855

Mailing address

9850 Von Allmen CT Ste 201
Louisville, KY 40241-2855
Phone (859) 705-7770

Other practice location 1

717 Rosslyns Dl
Lexington, KY 40514-1189
Phone (859) 705-7770

Other names 1

  • Miss Magdalen Kien Zama Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920002025 KY Practitioner - Nurse Practitioner 2264886571 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4008073KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC CurrentSince Sep 5, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 13, 2024 Accepting new patients
Signify Health, LLC CurrentSince Apr 27, 2024 Accepting new patients
Behavioral and Addiction Services Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Infinity Care Plus Inc CurrentSince Jul 9, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

200 E Reynolds Rd
Ste 9
Lexington, KY 40517
Phone (859) 705-7770

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4205 Dixie Hwy
Louisville, KY 40216
Phone (714) 786-5227

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1972387991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 VON ALLMEN CT STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412855",
            "telephone_number": "859-705-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 VON ALLMEN CT STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Rosslyns Dl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405141189",
            "country_code": "US",
            "telephone_number": "859-705-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKOH",
        "first_name": "MAGDALEN",
        "middle_name": "K",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4008073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALEN",
            "last_name": "ZAMA",
            "middle_name": "KIEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.