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

Miss. Aysha Tariq

Individual provider Professional Counselor · NPI 1134859705

Miss. Aysha Tariq is a Mental Health Counselor in Louisville, Kentucky. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

8134 New Lagrange Rd Ste 100
Louisville, KY 40222-4022
Phone: (502) 472-7293
Fax: (502) 690-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114 Franklin St, Henderson, Ky 42420, Henderson, KY 42420 — (270) 683-4376

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 288480 (KY)

Record details

NPI number1134859705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESDecember 20, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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