Organization Active NPI

Louisville Center for Eating Disorders LLC

  • Adult Mental Health Clinic/Center
  • Louisville, KY
National Provider Identifier
1982197737
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 28, 2026

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.