Organization Active NPI

Embrace Counseling and Consulting Services, LLC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1104412907
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMBRACE COUNSELING AND CONSULTING SERVICES, LLC
Practice address
2108 Bardstown Rd
Louisville, KY 40205-1985
Phone
(502) 819-6734
Fax
(502) 371-6377
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Cynthia D. Fletcher, LCSWNPI 1891195368
Title
Clinical Therapist/Director
Phone
(502) 819-6734

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2108 Bardstown Rd
Louisville, KY 40205-1985

Mailing address

1405 Juniper Dr Apt 3
Louisville, KY 40222-7891
Phone (502) 819-6734

Other practice location 1

1405 Juniper Dr Apt 3
Louisville, KY 40222-7891
Phone (502) 819-6734

National Provider Directory

National Provider Directory

Locations

2108 Bardstown Rd
Louisville, KY 40205
Phone (502) 299-6446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1104412907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JUNIPER DR APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227891",
            "telephone_number": "502-819-6734",
            "fax_number": "502-371-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051985",
            "telephone_number": "502-819-6734",
            "fax_number": "502-371-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Juniper Dr Apt 3",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402227891",
            "country_code": "US",
            "telephone_number": "502-819-6734",
            "fax_number": "502-371-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBRACE COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "502-819-6734",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.