LOUISVILLE INTEGRATED CARE (NPI# 1669093647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669093647 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE INTEGRATED CARE |
| Practice Address |
1151 S 4th St Ste 208 Louisville KY 40203-3101 |
| Practice Telephone | 5026126981 |
| Mailing Telephone | 5026126981 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | MICHELLE R HICKS (OWNER) |
| Authorized Official Telephone | 5026126981 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1151 S 4TH ST STE 208 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891294336 | Nanncoh LLC | Family Medicine | 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 | 2018-02-11 |
| 1922496223 | Hope Recovery Center | Family Medicine | 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 | 2015-01-08 |
| 1629317391 | Burns Mack Brady | Family Medicine | 1017 W. Market St., Louisville, KY 40202 | 2013-01-31 |
| 1831683879 | Bluegrass Behavioral Health Psc | Family Medicine | 1939 Goldsmith Ln Ste 117, Louisville, KY 40218-3176 | 2018-06-21 |
| 1821254145 | Nanine S Henderson Do | Family Medicine | 4010 Dupont Cir, Suite 200, Louisville, KY 40207-4812 | 2008-08-06 |
| 1376617183 | Nanine S Henderson | Family Medicine | 4010 Dupont Cir, Louisville, KY 40207 | 2006-11-20 |
| 1619932084 | Richard H Cales | Family Medicine | 5722 Outer Loop, Louisville, KY 40219-4156 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431543 | Stephanie Caudill | Family Medicine | 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 | 2020-09-12 |
| 1083231682 | Cherawen Group | Family Medicine | 4060 Troy Pike, Versailles, KY 40383-8924 | 2020-06-30 |
| 1295357531 | Unbound Treatment, Inc. | Family Medicine | 67 Harbor Dr, Jamestown, KY 42629-8036 | 2020-05-09 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1548533482 | Laurel County Sobriety Center Pllc | Family Medicine | 1658 East 192 Bypass, London, KY 40741 | 2012-02-22 |
| 1558328179 | Paul Wilson Craig II | Family Medicine | 6500 Highway 645, Suite 110, Inez, KY 41224 | 2006-04-27 |
| 1407856057 | Anthony Wade Alvarez | Family Medicine | 820 Dolwick Dr, Erlanger, KY 41018-2774 | 2005-07-26 |
| 1902425515 | Commonhealth LLC | Family Medicine | 1604 Louisville Rd, Frankfort, KY 40601-3919 | 2020-04-14 |
| 1598226045 | Joshua Adam Mullins | Family Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-03-27 |
| 1467918201 | Hartoria Health Services LLC | Family Medicine | 3150 Custer Dr Ste 101, Lexington, KY 40517-4010 | 2019-02-18 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
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| 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.