Individual provider Active NPI

Rachel Alice Smith, LPCC-S, LCADC

  • Professional Counselor
  • Nicholasville, KY
National Provider Identifier
1265924625
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
243594 Issued in KY
Practice address
1115 Ashgrove Rd
Nicholasville, KY 40356-9202
Phone
(859) 813-0569
NPI assigned
Jun 1, 2018
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 265858 KY
Professional Counselor 101YP2500X 243594 KY Primary

Addresses

Primary practice location

1115 Ashgrove Rd
Nicholasville, KY 40356-9202

Mailing address

1115 Ashgrove Rd
Nicholasville, KY 40356-9202
Phone (859) 813-0569

Other identifiers 2

IdentifierTypeStateIssuer
243594OtherKYLICENSED PROFESSIONAL CLINICAL COUNSELOR
7100552280MedicaidKY

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

State licenses

LicenseStateTypeSpecialty
265858KYMDAddiction (Substance Use Disorder) Counselor
243594KYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265924625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ASHGROVE RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569202",
            "telephone_number": "859-813-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ASHGROVE RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569202",
            "telephone_number": "859-813-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "ALICE",
        "credential": "LPCC-S, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "265858",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "243594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CLINICAL COUNSELOR",
            "identifier": "243594",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100552280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.