JOSEPH WILLIAM ETTERER (NPI# 1518452358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518452358 |
| Entity Type | Individual |
| Full Name | JOSEPH WILLIAM ETTERER |
| Practice Address |
950 S 1st St Louisville KY 40203-2202 |
| Practice Telephone | 5025859444 |
| Practice Fax Number | 5025859466 |
| Mailing Telephone | 5025859444 |
| Mailing Fax Number | 5025859466 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 242773 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEPARTMENT OF PROFESSIONAL LICENSING | 242773 | 01 |
| Street Address |
950 S 1ST ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823817 | Bridgehaven, Inc. | Counselor | 950 S 1st St, Louisville, KY 40203-2288 | 2006-08-29 |
| 1780223867 | Beth M Willis | Counselor | 950 S 1st St, Louisville, KY 40203-2202 | 2020-01-06 |
| 1194298232 | Carrie Sommerville | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2019-01-10 |
| 1992235576 | Edith H Johnson | Counselor | 950 S 1st St, Louisville, KY 40203-2202 | 2017-06-15 |
| 1285175380 | Susan Pope | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2017-03-09 |
| 1386097145 | Michael Brandon Banks | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-07-18 |
| 1841643608 | Benjamin J Jaggers | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-07-18 |
| 1801255351 | Anthony Ross | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-02-12 |
| 1548626658 | Jennifer Hall | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-01-05 |
| 1316323264 | Tara Bassett | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-08-03 |
| Find all providers in the same location | ||||
| 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 | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656570 | Meghan Wnorowski-bogle | Art Therapist | 408 Cornell Pl, Louisville, KY 40207-2932 | 2019-05-29 |
| 1457917205 | Julia Emma Naiditch | Art Therapist | 1935 Gardiner Ln Apt A4, Louisville, KY 40205-2827 | 2019-05-17 |
| 1366923591 | Kaleena Marie Brown | Art Therapist | 7706 Manslick Rd, Louisville, KY 40214-4184 | 2018-08-26 |
| 1073018297 | Emily Rae Johnson Welsh | Art Therapist | 1422 Audubon Pkwy, Louisville, KY 40213-1202 | 2018-03-28 |
| 1225309388 | Jennifer Kramer Leach | Art Therapist | 515 E Oak St, Louisville, KY 40203-3417 | 2012-01-21 |
| 1184835142 | Valerie C Mccarthy | Art Therapist | 607 E Saint Catherine St, Louisville, KY 40203-3409 | 2007-05-24 |
| 1073720413 | Amber Arnold Kaelin | Art Therapist | 5427 Bardstown Rd Ste 2c, Louisville, KY 40291-1968 | 2007-05-16 |
| 1477590313 | Cathy A Malchiodi | Art Therapist | 2317 Saratoga Dr, Louisville, KY 40205-2020 | 2006-05-31 |
| 1427665843 | Erica Marie Mullins | Art Therapist | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2020-09-29 |
| 1053922328 | Christine Marie Underwood | Art Therapist | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2020-08-11 |
| Find all providers in LOUISVILLE | ||||
| 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.