Erika Jordan Stallings

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

295794 Issued in KY

Practice address

100 Todd St Apt 3
Campbellsville, KY 42718-1951

Phone

(502) 294-9060

NPI assigned

Feb 1, 2025

Last updated

Feb 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Professional Counseling LLCGroup PAC ID 3476815085, 13 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Professional Counseling, LLC

  • Professional Counselor
  • Munfordville, KY
  • NPI 1063899789
  Medicare reassignment Care Compare group NPD
• Kimberly Gambino LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Munfordville, KY
  • NPI 1417511973
  NPD (past)

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1225842263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TODD ST APT 3",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181951",
            "telephone_number": "502-294-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TODD ST APT 3",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181951",
            "telephone_number": "502-294-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "ERIKA",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "295794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Paige Spaw, PTA
• Jami Taylor Spaw, DMD
• Spring View Physician Practices LLC (Spring View Women's & Children's Clinic - Campbellsville)
• Eric Sprowles, PHARM D
• Sarah Emily Squires, LPCC, LCADC
• Cassandra Stephens, MD
• Aaron D Stewart, M.D.
• Sara Elizabeth Stiles, APRN
• John C Stockton
• Margaret Strait, AUD

• Marriage & Family Therapist in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.