Active NPI
Stephanie Faith Brewster, LPCC
- Professional Counselor
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCPCC00223773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250408001342 | KY | Practitioner - Mental Health Counselor | 4880118132 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCPCC00223773 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Children'S Services, Inc. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.