Guided Healing LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GUIDED HEALING LLC

Practice address

1150 Paynes Depot Rd
Georgetown, KY 40324-9137

Phone

(859) 940-0375

Fax

(502) 305-2114

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara E Staker, LPCCNPI 1134819246

Title

Owner

Phone

(859) 940-0375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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.

• Sara E Staker, LPCC

  • Mental Health Counselor
  • Georgetown, KY
  • NPI 1134819246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1033809157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BRADFORD LN UNIT 1195",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403240318",
            "telephone_number": "859-940-0375",
            "fax_number": "502-305-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PAYNES DEPOT RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249137",
            "telephone_number": "859-940-0375",
            "fax_number": "502-305-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "STAKER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-940-0375",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee Grey, DO
• Kameron Grigsby
• Elizabeth Victoria Grivetti, CADC, APSS, CSA
• Rebecca Gail Groves, LPCC,NCC
• Diane M Gruen-Kidd, LCSW
• James Jerome Gullett, M.D.
• Catherine Gulley, PA
• Gus a. Bynum, M.D., P.S.C.
• Kharri Guthrie, PA
• Kefah Habash, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.