NPIMap

Organization Active NPI

Mustard Tree Counseling, Inc.

  • Professional Counselor
  • Richmond, KY
National Provider Identifier
1265858559
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
KY1533 Issued in KY
Legal business name
MUSTARD TREE COUNSELING, INC.
Practice address
620 Big Hill Ave
Suite 15
Richmond, KY 40475-2501
Phone
(859) 626-0001
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Mr. Samuel Anthony Miller, LPCC
Title
Vice President
Phone
(859) 626-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X KY1533 KY Primary

Addresses

Primary practice location

620 Big Hill Ave
Suite 15
Richmond, KY 40475-2501

Mailing address

620 Big Hill Ave
Suite 15
Richmond, KY 40475-2501
Phone (859) 626-0001

National Provider Directory

National Provider Directory

Locations

620 Big Hill Ave
Ste 15
Richmond, KY 40475
Phone (859) 626-0001

2150 Lexington Rd
Richmond, KY 40475
Phone (833) 381-4759

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1265858559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BIG HILL AVE",
            "address_2": "SUITE 15",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752501",
            "telephone_number": "859-626-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BIG HILL AVE",
            "address_2": "SUITE 15",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752501",
            "telephone_number": "859-626-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD TREE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "859-626-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.