Stephanie Renee Gwinn, LPCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

281764 Issued in KY

Practice address

523 Oak Ridge Church Rd
Corbin, KY 40701-5238

Phone

(606) 215-3008

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Isaiah House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Willisburg, KY
  • NPI 1396086559
  Medicare reassignment NPD
• Right Way Recovery LLC

  • Recovery Care Clinic/Center
  • Corbin, KY
  • NPI 1538960273

  Addiction (Substance Use Disorder)

  NPD
• Soulistic Counseling LLC

  • Mental Health Counselor
  • Corbin, KY
  • NPI 1295444701
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1174088223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SMITH LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412822",
            "telephone_number": "606-215-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 OAK RIDGE CHURCH RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015238",
            "telephone_number": "606-215-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Highway 192 W",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "40741",
            "country_code": "US",
            "telephone_number": "606-657-5470",
            "fax_number": "606-657-5472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 N Laurel Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407419075",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E Peachtree St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012596",
            "country_code": "US",
            "telephone_number": "606-261-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Middleground Way",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407449175",
            "country_code": "US",
            "telephone_number": "606-657-5470",
            "fax_number": "606-657-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWINN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "281764",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "281674",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "281674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100865430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rylie Gross
• Theresa Gross, APRN
• Patricia Ann Grubb, MS
• Sarah Gugluizza, LCSW
• Guided Pathways of Kentucky
• Austin Elizabeth Hacker
• Raymond Allen Hackett, M.D.
• Joy Genene Hackler, MA, MRC
• Melissa Dunaway Haddix, D.O.
• Christopher Wesley Hafner, DPT

• Addiction (Substance Use Disorder) Counselor in Corbin, KY
• Providers in Corbin, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.