Individual provider Active NPI

Sophia Yvonne Semones, M.S.

  • Clinical Psychologist
  • Frankfort, KY
National Provider Identifier
1194922856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY-117 Issued in KY
Practice address
959 Leestown LN
Frankfort, KY 40601-2005
Phone
(502) 875-8666
Fax
(502) 875-1646
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY-117 KY Primary

Addresses

Primary practice location

959 Leestown LN
Frankfort, KY 40601-2005

Mailing address

317 W 4TH St
Frankfort, KY 40601-2709
Phone (502) 875-1646

Other identifiers 2

IdentifierTypeStateIssuer
217OtherKYPUSH
1619OtherKYFIRST STEPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KY-117KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Push Early Childhood Development Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194922856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 4TH ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012709",
            "telephone_number": "502-875-1646",
            "fax_number": "502-875-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LEESTOWN LN",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012005",
            "telephone_number": "502-875-8666",
            "fax_number": "502-875-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMONES",
        "first_name": "SOPHIA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUSH",
            "identifier": "217",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "1619",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.