Individual provider Active NPI

Stephanie Leigh Houin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Shepherdsville, KY
National Provider Identifier
1003318213
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017812 Issued in KY
Practice address
130 Joe B Hall Ave
Shepherdsville, KY 40165-6010
Phone
(502) 955-6447
NPI assigned
Mar 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2018007521 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017812 KY Primary

Addresses

Primary practice location

130 Joe B Hall Ave
Shepherdsville, KY 40165-6010

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842
Phone (502) 589-8600

Other practice location 1

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone (636) 477-6464

Other practice location 2

255 Spencer Rd
Saint Peters, MO 63376-2494
Phone (636) 939-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104002614 KY Practitioner - Nurse Practitioner 0941556542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seven Counties Services, IncGroup PAC ID 1759294424, 92 clinicians

Practice addresses (Care Compare)

1020 E Broadway
Suite 101
Louisville, KY 40204-1102
Phone (502) 589-8085

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 589-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017812KYMDPsychiatric/Mental Health Nurse Practitioner
2018007521MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis CurrentSince Jun 1, 2022 Accepting new patients
Seven Counties Services, Inc. CurrentSince Oct 17, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Jun 1, 2022 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

130 S Joe B Hall Ave
Shepherdsville, KY 40165
Phone 5025898600 ext. 1261

130 W Joe B Hall Ave
Shepherdsvlle, KY 40165
Phone (502) 921-1231

12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1003318213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233842",
            "telephone_number": "502-589-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOE B HALL AVE",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656010",
            "telephone_number": "502-955-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Mexico Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761667",
            "country_code": "US",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Spencer Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762494",
            "country_code": "US",
            "telephone_number": "636-939-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUIN",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018007521",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.