Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Telos Health Systems Ky Provider Services LLC

Organization Mental Health Counselor · NPI 1619891421

Telos Health Systems Ky Provider Services LLC provides Mental Health Counselor services in Louisville, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone: (201) 217-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1619891421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Bailey — Ceo · (201) 217-6777
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address980 Sylvan Ave Fl 2, Englewood Cliffs, NJ 07632-3320

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