Organization Active NPI

Miles of Hope Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Stanford, KY
National Provider Identifier
1134513252
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4004 Issued in KY
Legal business name
MILES OF HOPE COUNSELING CENTER, LLC
Practice address
107 N 2ND St
Stanford, KY 40484-1321
Phone
(606) 303-3560
Fax
(606) 365-2263
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Carla Loveless-Tackett, MSW, LCSW, ACSW
Title
Owner/Clinical Social Worker
Phone
(606) 303-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4004 KY Primary

Addresses

Primary practice location

107 N 2ND St
Stanford, KY 40484-1321

Mailing address

107 N 2ND St
Stanford, KY 40484-1321
Phone (606) 303-3560

National Provider Directory

National Provider Directory

Locations

107 N 2nd St
Stanford, KY 40484
Phone (606) 303-3560

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1134513252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 2ND ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841321",
            "telephone_number": "606-303-3560",
            "fax_number": "606-365-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 2ND ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841321",
            "telephone_number": "606-303-3560",
            "fax_number": "606-365-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES OF HOPE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "LOVELESS-TACKETT",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "606-303-3560",
        "authorized_official_credential": "MSW, LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "4004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.