Active NPI
Cheyenne Dakota Hubbard, LPCC, LCADC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1003687559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 305313
- Practice address
- 102 Daventry LN
Louisville, KY 40223-2869 - Phone
- (502) 713-9604
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 288006 | KY | |
| Professional Counselor | 101YP2500X | 305313 | KY | Primary |
Addresses
Primary practice location
102 Daventry LN
Louisville, KY 40223-2869
Mailing address
10322 Pinoak View Dr
Louisville, KY 40299-6847
Phone (606) 202-0044
Other practice location 1
12700 Townepark Way Ste 111
Louisville, KY 40243-2538
Phone (502) 712-9604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288006 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 305313 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xxxiv, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Corbin, KY
- NPI 1578986345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1003687559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10322 PINOAK VIEW DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996847",
"telephone_number": "606-202-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DAVENTRY LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232869",
"telephone_number": "502-713-9604"
}
],
"practiceLocations": [
{
"address_1": "12700 Townepark Way Ste 111",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402432538",
"country_code": "US",
"telephone_number": "502-712-9604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "CHEYENNE",
"middle_name": "DAKOTA",
"credential": "LPCC, LCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "288006",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "305313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.