Individual provider Active NPI

Ivory Shae Howell, LPCC, LMHC

  • Professional Counselor
  • Owensboro, KY
National Provider Identifier
1124342001
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104689 Issued in KY
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

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
99128083AOtherININDIANA PROFESSIONAL LICENSING AGENCY BEHAVIORAL HEALTH AND HUMAN SERVICES BOARD

Other names 1

  • Ivory Shae Carter Former name

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

LicenseStateTypeSpecialty
99128083AINMDMental Health Counselor
104689KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.