Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TELOS HEALTH SYSTEMS KY PROVIDER SERVICES LLC
NPI 1619891421
Counselor - Mental Health in Louisville, KY

Active since August 05, 2026
3500 GOOD SAMARITAN WAY, LOUISVILLE, KY 40299(201) 217-6777 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Telos Health Systems Ky Provider Services Llc NPPES

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

TELOS HEALTH SYSTEMS KY PROVIDER SERVICES LLC (NPI 1619891421) is a healthcare organization registered as a mental health in Louisville, Kentucky and active in the NPI registry since August 2026. The organization lists Peter Bailey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619891421
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTELOS HEALTH SYSTEMS KY PROVIDER SERVICES LLC
Location Address3500 GOOD SAMARITAN WAYLouisville, KY 40299-6117
Mailing Address980 Sylvan Ave Fl 2Englewood Cliffs, NJ 07632-3320 · (201) 217-6777
Organization SubpartNo
Authorized OfficialPeter BaileyCeo · (201) 217-6777
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
NPI 1619891421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInternal MedicineTaxonomy 207R00000X
3500 GOOD SAMARITAN WAY, Louisville, KY 40299

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3500 GOOD SAMARITAN WAY
JEFFERSONTOWN, KY 40299
Family Medicine
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Physical Therapy Assistant
3500 GOOD SAMARITAN WAY
JEFFERSONTOWN, KY 40299
Skilled Nursing Facility
3500 GOOD SAMARITAN WAY
JEFFERSONTOWN, KY 40299
Counselor (Mental Health)
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Family Medicine
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299
Speech-Language Pathologist
3500 GOOD SAMARITAN WAY
LOUISVILLE, KY 40299

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 Telos Health Systems Ky Provider Services LLC's NPI number?

The NPI number for Telos Health Systems Ky Provider Services LLC is 1619891421. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Telos Health Systems Ky Provider Services LLC located?

Telos Health Systems Ky Provider Services LLC is located at 3500 Good Samaritan Way, Louisville, KY 40299. The listed phone number is (201) 217-6777.

What is Telos Health Systems Ky Provider Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Telos Health Systems Ky Provider Services LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.