MEDICARE: HEARTFELT SOLUTIONS, PLLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	103T00000X	Psychologist	1548	KY
3	133N00000X	Nutritionist
4	133V00000X	Registered Dietitian
5	225X00000X	Occupational Therapist
6	224Z00000X	Occupational Therapy Assistant
7	225100000X	Physical Therapist
8	225200000X	Physical Therapy Assistant
9	2355S0801X	Speech-Language Assistant
10	103K00000X	Behavior Analyst	1-09-5130

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P400031243	OTHER		MEDICARE PTAN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1376818815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTFELT SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	8920 STONE GREEN WAY STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-4072
Country	:	US
Telephone Number	:	502-915-8343
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 STONE GREEN WAY STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-4072
Country	:	US
Telephone Number	:	502-915-8343
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JASON KELLER
Credential	:	PSYD
Telephone Number	:	502-322-4884

Provider Enumeration Date	:	03/16/2012
Last Update Date	:	10/16/2025