Organization Active NPI

Spill the Tea, LLC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1023604725
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPILL THE TEA, LLC
Practice address
2387 Professional Heights Dr Ste 10
Lexington, KY 40503-3004
Phone
(859) 629-9865
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Lawanda E McCants, LPCCNPI 1619227857
Title
Owner
Phone
(859) 629-9865

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2387 Professional Heights Dr Ste 10
Lexington, KY 40503-3004

Mailing address

2387 Professional Heights Dr Ste 10
Lexington, KY 40503-3004
Phone (859) 629-9865

Other practice location 1

558 Radcliffe Rd
Lexington, KY 40505-1667
Phone (859) 629-9865

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2387 Professional Heights Dr
Ste 10
Lexington, KY 40503
Phone (859) 629-9865

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1023604725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 10",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033004",
            "telephone_number": "859-629-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 10",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033004",
            "telephone_number": "859-629-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "558 Radcliffe Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405051667",
            "country_code": "US",
            "telephone_number": "859-629-9865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPILL THE TEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "MCCANTS",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-629-9865",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "platform for storing PI, documentation, and billing",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2387 Professional Heights Dr Ste 10",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405033004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.