Individual provider Active NPI

Cheyenne Dakota Hubbard, LPCC, LCADC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1003687559
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
305313 Issued in KY
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

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
288006KYMDAddiction (Substance Use Disorder) Counselor
305313KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.