Organization Active NPI

Stephens Behavior Consulting, LLC

  • Community/Behavioral Health Agency
  • Shelbyville, KY
National Provider Identifier
1023415692
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
KY-0060 Issued in KY
Legal business name
STEPHENS BEHAVIOR CONSULTING, LLC
Practice address
320 Main St
Shelbyville, KY 40065-1026
Phone
(502) 633-1315
Fax
(502) 633-1316
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Mr. Kyle Stephens, BCBA, LBANPI 1407114069
Title
Executive Director
Phone
(502) 633-1315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X KY-0060 KY Primary
Community/Behavioral Health Agency 251S00000X 1519 KY

Addresses

Primary practice location

320 Main St
Shelbyville, KY 40065-1026

Mailing address

PO Box 516
Shelbyville, KY 40066-0516
Phone (502) 633-1315

Other identifiers 1

IdentifierTypeStateIssuer
7100250830MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415002007 KY Part B Supplier - Clinic/Group Practice 1254672538 Receives reassigned benefits from 2 practitioners
Practice locations: Crestwood, KY; Shelbyville, KY

National Provider Directory

National Provider Directory
Tax ID family
Stephens Behavior Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5895 W Highway 146
Crestwood, KY 40014
Phone (502) 386-6754

3175 Custer Dr
Ste 203
Lexington, KY 40517
Phone (502) 633-1315

998 Brooks Industrial Rd
Shelbyville, KY 40065
Phone (502) 264-2816

998 Brooks Industrial Rd
Ste A
Shelbyville, KY 40065
Phone (502) 633-1315

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1023415692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400660516",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651026",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS BEHAVIOR CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-633-1315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "KY-0060",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100250830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.