MINORITY MENTAL HEALTH PROJECT (NPI# 1588299580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588299580 |
| Entity Type | Organization |
| Organization Name | MINORITY MENTAL HEALTH PROJECT |
| Practice Address |
642 S 2nd St Apt 1007 Louisville KY 40202-2443 |
| Practice Telephone | 5024035921 |
| Mailing Telephone | 5024035921 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DAMON COBBLE (OWNER) |
| Authorized Official Telephone | 5024035921 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
642 S 2ND ST APT 1007 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| 1801419379 | Kykonnect LLC | Community/Behavioral Health | 2731 Antone Pkwy, Louisville, KY 40220-3476 | 2020-05-19 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1124687132 | Mended Behavioral & Mental Health Services | Community/Behavioral Health | 6407 Bardstown Rd, Louisville, KY 40291-3040 | 2019-06-12 |
| 1255999694 | Joseph Mull Counseling Services | Community/Behavioral Health | 350 Evergreen Rd Ste 102, Louisville, KY 40243-1010 | 2019-05-31 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.