R.E.a.C.H. Program LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

R.E.A.C.H. PROGRAM LLC

Practice address

120 W Stephen Foster Ave Ste 113
Bardstown, KY 40004-1457

Phone

(502) 350-7368

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Stacie A Sylvester, LCSW LCADCNPI 1265726145

Title

Member

Phone

(502) 350-7368

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Stacie Sylvester, LCSW, LCADC

  • Clinical Social Worker
  • Bardstown, KY
  • NPI 1265726145

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Bruce Hey, LCSW

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1184613283
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1265858864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-350-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-350-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Old Preston Hwy S",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401655454",
            "country_code": "US",
            "telephone_number": "502-350-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R.E.A.C.H. PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-350-7368",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bardstown",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bardstown",
            "address_1": "120 W Stephen Foster Ave Ste 101",
            "city": "Bardstown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400041457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Morgan Presthus, DC
• Proctor Family Dental
• Darren Lavell Pulliam, PHARMD
• Patricia D Pulliam, APRN
• Vicky Lynn Pulliam, RPH
• Krystal Rall, NP-C
• Maria Ramos, M.D.
• Rebecca D Rattray
• Susan Reddick, APRN
• Leroy None Redeaux Jr., LCSW

• Clinical Social Worker in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.