KATHLEEN VANESSA BLADES (NPI# 1366922163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366922163 |
| Entity Type | Individual |
| Full Name | KATHLEEN VANESSA BLADES |
| Other Name | VANESSA BLADES |
| Credential | LPCC |
| Practice Address |
540 Baxter Ave Louisville KY 40204-1154 |
| Practice Telephone | 5026949488 |
| Practice Fax Number | 5027854201 |
| Mailing Telephone | 2702109755 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
242124 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10101 Linn Station Rd Ste 600, Louisville, KY 402233818 | 5025898600 |
| Street Address |
540 BAXTER AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096124 | Kimberley Ann Evans | Registered Nurse | 540 Baxter Ave, Louisville, KY 40204-1154 | 2005-07-11 |
| 1184263725 | Andrea Marie Preston | Counselor | 540 Baxter Ave, Louisville, KY 40204-1154 | 2019-12-30 |
| 1649779752 | Erin Elizabeth Smith | Nurse Practitioner | 540 Baxter Ave, Louisville, KY 40204-1154 | 2018-02-04 |
| 1548713639 | Sarah Barber | Social Worker | 540 Baxter Ave, Louisville, KY 40204-1154 | 2016-07-26 |
| 1700139151 | Stephanie Batts | Counselor | 540 Baxter Ave, Louisville, KY 40204-1154 | 2012-10-23 |
| 1104944784 | Institute for Integrative Medicine | Clinic/Center | 540 Baxter Ave, Louisville, KY 40204-1154 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1841899036 | Minjoo Bayers | Counselor | 1400 Willow Ave Apt 1701, Louisville, KY 40204-1470 | 2020-10-20 |
| 1104425594 | Tracy Chaney Oldaker | Counselor | 1310 Mark Trail Rd, Louisville, KY 40242-3612 | 2020-10-19 |
| 1386255131 | 1st Priority Healthcare LLC | Counselor | 4229 Bardstown Rd Ste 201, Louisville, KY 40218-3286 | 2020-08-14 |
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1114537933 | Rocky Mountain Counseling Services | Counselor | 908 Main St Ste 370, Louisville, CO 80027-1867 | 2020-08-06 |
| 1205454220 | Andrew Raymond Thomas | Counselor | 302 Axis Dr Apt 301, Louisville, KY 40206-0130 | 2020-07-07 |
| 1629695481 | Christine Ann Thorp | Counselor | 1612 Cottonwood Dr Apt 10, Louisville, CO 80027-2826 | 2020-06-28 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1396361523 | Sarah Brees | Counselor | 521 E Ormsby Ave, Louisville, KY 40203-2620 | 2020-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on KATHLEEN VANESSA BLADES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.