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 is a Mental Health Counselor 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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