Organization Active NPI

Equilibrium LLC

  • Clinical Social Worker
  • Mt Sterling, KY
National Provider Identifier
1104465889
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EQUILIBRIUM LLC
Practice address
223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626
Phone
(859) 274-3066
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Misty Frazier, LCSW
Title
Owner/LCSW
Phone
(859) 274-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626

Mailing address

223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626
Phone (859) 404-4649

National Provider Directory

National Provider Directory

Locations

223 Windsor Dr
Ste 3
Mt Sterling, KY 40353
Phone (859) 274-3066

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1104465889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WINDSOR DR STE 3",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531626",
            "telephone_number": "859-404-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WINDSOR DR STE 3",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531626",
            "telephone_number": "859-274-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "859-274-3066",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.