Organization Active NPI

Triple Crown Counseling

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1174260079
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRIPLE CROWN COUNSELING
Practice address
105 Lyndon LN
Louisville, KY 40222-5550
Phone
(502) 509-3178
Fax
(502) 509-0249
NPI assigned
May 12, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Stephanie Gail Hall
Title
Medical Biller and Credentialer
Phone
(502) 931-4065

Specialties & licenses 1

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

Addresses

Primary practice location

105 Lyndon LN
Louisville, KY 40222-5550

Mailing address

105 Lyndon LN
Louisville, KY 40222-5550
Phone (502) 509-3178

Other identifiers 1

IdentifierTypeStateIssuer
7100779020MedicaidKY

Other names 1

  • Shannon McMillan Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL shannon@triplecrowncounseling.com Health Information Exchange (HIE)
Direct Messaging Address shannon@triplecrowncounseling.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

105 Lyndon Ln
Louisville, KY 40222
Phone (502) 423-9077

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1174260079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225550",
            "telephone_number": "502-509-3178",
            "fax_number": "502-509-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225550",
            "telephone_number": "502-509-3178",
            "fax_number": "502-509-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE CROWN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-06-09",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "MEDICAL BILLER AND CREDENTIALER",
        "authorized_official_telephone_number": "502-931-4065"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100779020",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannon@triplecrowncounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Lyndon Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402225550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@triplecrowncounseling.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Lyndon Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402225550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shannon McMillan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shannon McMillan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.