Active NPI
Charlene Scites-Thompson, LPCC-S
- Professional Counselor
- Danville, KY
National Provider Identifier
1275014177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 104679
- Practice address
- 400 Cunningham Way
Danville, KY 40422-8342 - Phone
- (859) 936-3513
- Fax
- (859) 936-3541
- NPI assigned
- Aug 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 104679 | KY | Primary |
Addresses
Primary practice location
400 Cunningham Way
Danville, KY 40422-8342
Mailing address
300 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104679 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1275014177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOPE ST",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400477757",
"telephone_number": "502-538-1000",
"fax_number": "502-538-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CUNNINGHAM WAY",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404228342",
"telephone_number": "859-936-3513",
"fax_number": "859-936-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCITES-THOMPSON",
"first_name": "CHARLENE",
"name_prefix": "Mrs.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "104679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.