Organization Active NPI

Four C's Development

  • Mental Health Counselor
  • Lawrenceburg, KY
National Provider Identifier
1164010369
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOUR C'S DEVELOPMENT
Practice address
1004 Edgewood Way
Lawrenceburg, KY 40342-1641
Phone
(859) 582-9606
NPI assigned
Jan 4, 2021
Last updated
Jan 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Cristy R Carter, LPCC-SNPI 1447659156
Title
Owner
Phone
(859) 582-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1004 Edgewood Way
Lawrenceburg, KY 40342-1641

Mailing address

1047 Highview Dr
Lawrenceburg, KY 40342-9703
Phone (859) 582-9606

Other identifiers 1

IdentifierTypeStateIssuer
7100537200MedicaidKY

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1164010369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 HIGHVIEW DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429703",
            "telephone_number": "859-582-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 EDGEWOOD WAY",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421641",
            "telephone_number": "859-582-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR C'S DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-582-9606",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100537200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.