Individual provider Active NPI

Joy E Delisle, LPCC

  • Professional Counselor
  • Hope, KY
National Provider Identifier
1043453590
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
166347 Issued in KY
Practice address
700 Hope Hill Rd
Hope, KY 40334-7002
Phone
(859) 498-5230
Fax
(859) 498-2606
NPI assigned
Apr 14, 2009
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 166347 KY Primary

Addresses

Primary practice location

700 Hope Hill Rd
Hope, KY 40334-7002

Mailing address

11433 Hope Means Rd
Means, KY 40346-7808
Phone (304) 813-4814

Other practice location 1

507 Henderson Ave
Cumberland, MD 21502-1562
Phone (301) 724-7277

Other identifiers 1

IdentifierTypeStateIssuer
035349300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166347KYMDProfessional Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1043453590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 HOPE MEANS RD",
            "city": "MEANS",
            "state": "KY",
            "postal_code": "403467808",
            "telephone_number": "304-813-4814",
            "fax_number": "859-498-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HOPE HILL RD",
            "city": "HOPE",
            "state": "KY",
            "postal_code": "403347002",
            "telephone_number": "859-498-5230",
            "fax_number": "859-498-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215021562",
            "country_code": "US",
            "telephone_number": "301-724-7277",
            "fax_number": "301-724-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "JOY",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "166347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035349300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.