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A NEWCO LLC
NPI 1285103937
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since November 23, 2018CLIA 18D2222564 · Waiver
1939 GOLDSMITH LN STE 100, LOUISVILLE, KY 40218(502) 873-7517(502) 365-2876 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Apr 20, 2021, Feb 19, 2021 and 1 more (4 updates tracked since 2018).

About A Newco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A NEWCO LLC (NPI 1285103937), doing business as Kentuckiana Center For Addiction Medicine, is a healthcare organization registered as a psychiatric/mental health in Louisville, Kentucky and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Bruce Melvin Cohen, Member, as its authorized official.

NPPES Registry Identity

NPI1285103937
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameA NEWCO LLC
Location Address1939 GOLDSMITH LN STE 100Louisville, KY 40218-3090
Mailing Address9462 Brownsboro Rd # 357Louisville, KY 40241-1118 · (502) 873-7517 · Fax (502) 365-2876
Phone(502) 873-7517
Fax(502) 365-2876
Organization SubpartNo
Authorized OfficialBruce Melvin CohenMember · (502) 551-2460
Enumeration DateNovember 23, 2018
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1285103937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1939 GOLDSMITH LN STE 100, Louisville, KY 40218
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Other Names 1

Doing Business AsKentuckiana Center For Addiction Medicine

Other Identifiers 4

Medicaid7100598570KY
OtherPDZ000000400708Aetna Better Health
Other2144175KY · Wellcare
Other000001237803KY · Anthem

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2222564

A Newco LLC Dba Kentuckiana Center For Addiction Medicine · Louisville, KY
Active · expires Apr 28, 2027
CLIA Number18D2222564
Laboratory TypeAode
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorMs. Susan K. Ballard
Laboratory Phone(502) 873-7517
Laboratory LocationA Newco LLC Dba Kentuckiana Center For Addiction Medicine1939 Goldsmith Ln, Ste 100, Louisville, KY 40218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Newco LLC's NPI number?

The NPI number for A Newco LLC is 1285103937. It was assigned to this organization in the NPPES registry on November 23, 2018. The provider is doing business as Kentuckiana Center For Addiction Medicine.

Where is A Newco LLC located?

A Newco LLC is located at 1939 Goldsmith Ln Ste 100, Louisville, KY 40218. The listed phone number is (502) 873-7517.

What is A Newco LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does A Newco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2222564) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does A Newco LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list A Newco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for A Newco LLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.