Grace Counseling and Consulting Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

KY-0085 Issued in KY

Legal business name

GRACE COUNSELING AND CONSULTING SERVICES, LLC

Practice address

138 Kent Haven Dr
Somerset, KY 42503-6281

Phone

(606) 637-3538

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Dustin Phelps, M.S.

Title

Ceo

Phone

(606) 637-3538

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1235660853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 KENT HAVEN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036281",
            "telephone_number": "606-637-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 KENT HAVEN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036281",
            "telephone_number": "606-637-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-637-3538",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY-0085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty R Goldson, PMHNP, FNP
• Kimberley Kavanaugh Goodloe, MS
• Brandon Goodpaster, DC
• Danel Gossett
• Bethany Rachelle Gover, LPCC
• Grace Pharmacy
• Grace Pharmacy
• Alex Graham
• Cari Grant, MS, CCC-SLP
• Heather Renee Grant

• Psychologist in Somerset, KY
• Providers in Somerset, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.