Organization Active NPI

Fresh Start Educational and Counseling Center Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1023549706
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
172341 Issued in KY
Legal business name
FRESH START EDUCATIONAL AND COUNSELING CENTER INC.
Practice address
4936 Hazelwood Ave
Louisville, KY 40214-1254
Phone
(502) 664-7405
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Steven Maurice Kelsey, PH.D, M.ED; LPCCNPI 1932510997
Title
Therapist
Phone
(502) 664-7405

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 172341 KY Primary

Addresses

Primary practice location

4936 Hazelwood Ave
Louisville, KY 40214-1254

Mailing address

3529 Dumesnil St
Louisville, KY 40211-3440
Phone (502) 664-7405

National Provider Directory

National Provider Directory

Locations

4936 Hazelwood Ave
Louisville, KY 40214
Phone (502) 664-7405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1023549706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 DUMESNIL ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113440",
            "telephone_number": "502-664-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 HAZELWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141254",
            "telephone_number": "502-664-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START EDUCATIONAL AND COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "502-664-7405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, M.ED; LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "172341",
            "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, 2017; 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.