Active NPI
Louisville Center for Eating Disorders LLC
- Adult Mental Health Clinic/Center
- Louisville, KY
National Provider Identifier
1982197737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LOUISVILLE CENTER FOR EATING DISORDERS LLC
- Practice address
- 11824 Ransum Dr # 200
Louisville, KY 40243-2802 - Phone
- (502) 338-0608
- Fax
- (502) 245-1888
- NPI assigned
- Jun 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Brent Wallen, JD
- Title
- Business Manager
- Phone
- (502) 319-3105
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
11824 Ransum Dr # 200
Louisville, KY 40243-2802
Mailing address
11824 Ransum Dr Ste 200
Louisville, KY 40243-2802
Phone (502) 338-0608
National Provider Directory
National Provider DirectoryLocations
11824 Ransum Dr
Ste 200
Louisville, KY 40243
Phone (502) 205-1114
11824 Ransum Dr
#200
Louisville, KY 40243
Phone (502) 338-0608
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Louisville, KY
- NPI 1861384398
-
- Psychologist
- Louisville, KY
- NPI 1174314975
-
- Clinical Psychologist
- Louisville, KY
- NPI 1801837190
-
- Clinical Psychologist
- Louisville, KY
- NPI 1821526971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1982197737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11824 RANSUM DR STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432802",
"telephone_number": "502-338-0608",
"fax_number": "502-245-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11824 RANSUM DR # 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432802",
"telephone_number": "502-338-0608",
"fax_number": "502-245-1888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE CENTER FOR EATING DISORDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-07",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "WALLEN",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "BRENT",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "502-319-3105",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Louisville Bone and Joint Specialists, PSC
- Louisville Cardiology Medical Group, PSC
- Louisville Cardiovascular Care PLLC
- Louisville Care Center Inc
- Louisville Center for Adult Children, Inc.
- Louisville Center for Therapy and Personal Sustainability
- Louisville Colorectal Associates LLC
- Louisville Concierge Medicine, PLLC
- Louisville Counseling Associates, LLC
- Louisville Cpap Store
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.