Stephanie Jo Clemmons, MED, LPCC, LPAT, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

103057 Issued in KY

Practice address

231 Breckenridge LN Ste 201
Louisville, KY 40207-3871

Phone

(502) 200-9836

Fax

(502) 237-9072

NPI assigned

Dec 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Jo Clemmons Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Integrative Healing

  • Professional Counselor
  • Louisville, KY
  • NPI 1760264675
  NPD Authorized official
• Stephclemm Art Therapy LLC

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1619693215

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1093051229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 PIATT PL UNIT 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402236151",
            "telephone_number": "502-291-4094",
            "fax_number": "502-237-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BRECKENRIDGE LN STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073871",
            "telephone_number": "502-200-9836",
            "fax_number": "502-237-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MED, LPCC, LPAT, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-1322",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CLEMMONS",
            "middle_name": "JO",
            "credential": "MED, LPCC, LPAT, ATR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberlynn M Clements, O.D.
• Lillian Rose Clements
• Marie Elise Clements, MD
• Vicky Gay Clements
• Anne Claire Clemmons
• Jarron Clemons, D.C.
• Mia Clemons, RBT
• Robert Stephen Clemons
• Dorothy Renee Clerici, FNP
• Kacie M Cleveland

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.