NPIMap

Organization Active NPI

Children & Family Counseling Associates

  • Clinical Child & Adolescent Psychologist
  • Harrodsburg, KY
National Provider Identifier
1073530077
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
CHILDREN & FAMILY COUNSELING ASSOCIATES
Practice address
100 S. Main St.
Harrodsburg, KY 40330
Phone
(859) 613-8178
Fax
(859) 908-2501
NPI assigned
Jul 16, 2006
Last updated
May 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Mrs. Susan Campbell Turner, MSNPI 1922014083
Title
Owner
Phone
(859) 613-8178

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY-0012 KY
Clinical Child & Adolescent Psychologist 103TC2200X 0012 KY
Clinical Child & Adolescent Psychologist 103TC2200X Primary
Clinical Social Worker 1041C0700X KY-1237 KY

Addresses

Primary practice location

100 S. Main St.
Harrodsburg, KY 40330

Mailing address

P.O. Box 363
Harrodsburg, KY 40330
Phone (859) 613-8178

Other identifiers 2

IdentifierTypeStateIssuer
29100443MedicaidKY
29200441MedicaidKY

Other names 1

  • CAFCA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000528 KY Part B Supplier - Clinic/Group Practice 2264530575 Receives reassigned benefits from 7 practitioners
Practice locations: Harrodsburg, KY

National Provider Directory

National Provider Directory

Locations

100 S Main St
Harrodsburg, KY 40330
Phone (859) 613-8178

352 S College St
Harrodsburg, KY 40330
Phone (859) 613-8178

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1073530077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 363",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-613-8178",
            "fax_number": "859-908-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. MAIN ST.",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-613-8178",
            "fax_number": "859-908-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & FAMILY COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-613-8178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-0012",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "KY",
            "license": "0012",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-1237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29100443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29200441",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAFCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.