Individual provider Active NPI

Stevanie E Smith, M.ED., LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
National Provider Identifier
1265857833
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
171070 Issued in KY
Practice address
1795 Alysheba Way
1001
Lexington, KY 40509-2282
Phone
(859) 687-0416
Fax
(859) 353-4200
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 171070 KY Primary

Addresses

Primary practice location

1795 Alysheba Way
1001
Lexington, KY 40509-2282

Mailing address

1795 Alysheba Way
1001
Lexington, KY 40509-2282
Phone (859) 687-0416

Other identifiers 1

IdentifierTypeStateIssuer
12669382OtherCAQH

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 Education

State licenses

LicenseStateTypeSpecialty
171070KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Ohanna Initiative, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Essential Healing Iop, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Case Management and Counseling Services of Kentucky, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1795 Alysheba Way
Ste 1001
Lexington, KY 40509
Phone (859) 412-2194

Organizations & group practices 3

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1265857833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "1001",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-687-0416",
            "fax_number": "859-353-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "1001",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-687-0416",
            "fax_number": "859-353-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVANIE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.ED., LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "171070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12669382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.