Active NPI
Stephanie Childers McMullen
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1043631971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 600 Old Frankfort Cir
Lexington, KY 40510-9689 - Phone
- (859) 253-1686
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
600 Old Frankfort Cir
Lexington, KY 40510-9689
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1043631971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OLD FRANKFORT CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405109689",
"telephone_number": "859-253-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS MCMULLEN",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Rani Chikkanna, M.D.,
- Vidyashree Darasaguppe Chikkaramanjegowda, MD
- Child Development Centers of the Bluegrass, Inc
- Amy Lauren Child
- Michael Edward Child, D.M.D., M.S.D.
- Abby Lynn Childers, APRN
- Andrea Griggs Childers, DMD
- James Childers, RPH.,LDE
- Jose Rodolfo Childers, PA-C
- Krista M Childers, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.