Individual provider Active NPI

Stephanie Faith Brewster, LPCC

  • Professional Counselor
  • Madisonville, KY
National Provider Identifier
1013250489
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCPCC00223773 Issued in KY
Practice address
1079 Thornberry Dr
Suite D
Madisonville, KY 42431-1600
Phone
(270) 874-2560
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCPCC00223773 KY Primary

Addresses

Primary practice location

1079 Thornberry Dr
Suite D
Madisonville, KY 42431-1600

Mailing address

PO Box 1429
Mt Washington, KY 40047-1429
Phone (502) 538-1000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408001342 KY Practitioner - Mental Health Counselor 4880118132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCPCC00223773KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Children'S Services, Inc. CurrentSince Feb 28, 2025 Accepting new patients

Locations

190 Madison Square Dr
Ste B
Madisonville, KY 42431
Phone (270) 874-2560

1079 Thornberry Dr
Ste D
Madisonville, KY 42431
Phone (270) 874-2560

300 Hope St
Mt Washington, KY 40047
Phone (502) 538-1000

3180 W Parrish Ave
Owensboro, KY 42301
Phone (270) 683-1188

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1013250489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400471429",
            "telephone_number": "502-538-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR",
            "address_2": "SUITE D",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311600",
            "telephone_number": "270-874-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "STEPHANIE",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "LPCPCC00223773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.