Active NPI
Brenda Gale Luther, PHD
- Mental Health Counselor
- Elizabethtown, KY
National Provider Identifier
1255497178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- KY0057
- Practice address
- 200 Sycamore St
Suite 134
Elizabethtown, KY 42701-2469 - Phone
- (270) 763-6644
- Fax
- (270) 765-2452
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY0301 | KY | |
| Professional Counselor | 101YP2500X | MI6401004980 | MI | |
| Mental Health Counselor | 101YM0800X | KY0057 | KY | Primary |
Addresses
Primary practice location
200 Sycamore St
Suite 134
Elizabethtown, KY 42701-2469
Mailing address
200 Sycamore St
Suite 134
Elizabethtown, KY 42701-2469
Phone (270) 763-6644
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY0301 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| KY0057 | KY | MD | Mental Health Counselor |
| MI6401004980 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1255497178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SYCAMORE ST",
"address_2": "SUITE 134",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012469",
"telephone_number": "270-763-6644",
"fax_number": "270-765-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SYCAMORE ST",
"address_2": "SUITE 134",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012469",
"telephone_number": "270-763-6644",
"fax_number": "270-765-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "BRENDA",
"middle_name": "GALE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "KY0301",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "MI6401004980",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "KY0057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.