Individual provider Active NPI

Charlene Scites-Thompson, LPCC-S

  • Professional Counselor
  • Danville, KY
National Provider Identifier
1275014177
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104679 Issued in KY
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

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
104679KYMDProfessional 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.

Verify at the official NPI Registry.