Active NPI
Ivory Shae Howell, LPCC, LMHC
- Professional Counselor
- Owensboro, KY
National Provider Identifier
1124342001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 104689
- Practice address
- 100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135 - Phone
- (270) 302-1669
- Fax
- (270) 698-9778
- NPI assigned
- Mar 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 104689 | KY | Primary |
| Mental Health Counselor | 101YM0800X | 99128083A | IN |
Addresses
Primary practice location
100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135
Mailing address
100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135
Phone (270) 302-1669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99128083A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY BEHAVIORAL HEALTH AND HUMAN SERVICES BOARD |
Other names 1
- Ivory Shae Carter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99128083A | IN | MD | Mental Health Counselor |
| 104689 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivory Howell Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
100 W 3rd St
Ste 304
Owensboro, KY 42303
Phone (270) 315-1443
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Owensboro, KY
- NPI 1528342755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1124342001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 3RD ST",
"address_2": "SUITE 304",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034135",
"telephone_number": "270-302-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 3RD ST",
"address_2": "SUITE 304",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034135",
"telephone_number": "270-302-1669",
"fax_number": "270-698-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "IVORY",
"middle_name": "SHAE",
"credential": "LPCC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-21",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "104689",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "99128083A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY BEHAVIORAL HEALTH AND HUMAN SERVICES BOARD",
"identifier": "99128083A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IVORY",
"last_name": "CARTER",
"middle_name": "SHAE",
"credential": "LPCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.