NPIMap

Organization Active NPI

Abounding Life Counseling and Support, LLC

  • Mental Health Counselor
  • Williamstown, KY
National Provider Identifier
1144601238
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3005009 Issued in KY
Legal business name
ABOUNDING LIFE COUNSELING AND SUPPORT, LLC
Practice address
265 Fernwood Dr
Williamstown, KY 41097-4203
Phone
(859) 391-6046
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Ms. Phyllis B. Reed, PMH-APRN-BCNPI 1215001573
Title
Mental Health Nurse Practioner
Phone
(859) 391-6046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3005009 KY Primary

Addresses

Primary practice location

265 Fernwood Dr
Williamstown, KY 41097-4203

Mailing address

265 Fernwood Dr
Williamstown, KY 41097-4203
Phone (859) 391-6046

Other identifiers 2

IdentifierTypeStateIssuer
11663359OtherKYCAQH
78018033MedicaidKY

Other names 1

  • Abundant Living Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1144601238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FERNWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "410974203",
            "telephone_number": "859-391-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FERNWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "410974203",
            "telephone_number": "859-391-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUNDING LIFE COUNSELING AND SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MENTAL HEALTH NURSE PRACTIONER",
        "authorized_official_telephone_number": "859-391-6046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMH-APRN-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "3005009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11663359",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78018033",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Living Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.