Organization Active NPI

Timshel, LLC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1982925020
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3316 Issued in KY
Legal business name
TIMSHEL, LLC
Practice address
6520 Glenridge Park PL
Suite 1
Louisville, KY 40222-3453
Phone
(502) 551-0615
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Mr. Christopher Colgan Tyler, LCSW
Title
Psychotherapist
Phone
(502) 551-0615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3316 KY Primary

Addresses

Primary practice location

6520 Glenridge Park PL
Suite 1
Louisville, KY 40222-3453

Mailing address

6520 Glenridge Park PL
Suite 1
Louisville, KY 40222-3453
Phone (502) 551-0615

Other names 1

  • Colgan Tyler, LCSW, Counseling Service Other name

National Provider Directory

National Provider Directory

Locations

6520 Glenridge Park Pl
Ste 1
Louisville, KY 40222
Phone (502) 509-7357

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1982925020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-551-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-551-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMSHEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "COLGAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "502-551-0615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colgan Tyler, LCSW, Counseling Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 11, 2010; 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.