Active NPI
Structure House Recovery LLC
- Mental Health Counselor
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STRUCTURE HOUSE RECOVERY LLC
- Practice address
- 318 W Dixie St
London, KY 40741-1939 - Phone
- (606) 770-5024
- Fax
- (606) 770-5025
- NPI assigned
- Sep 25, 2025
- Last updated
- Sep 25, 2025
- Organization subpart
- Yes
- Parent organization
- STRUCTURE HOUSE RECOVERY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Cameron Thomas
- Title
- Program Ethics & Compliance Officer
- Phone
- (606) 729-7119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
318 W Dixie St
London, KY 40741-1939
Mailing address
PO Box 1976
London, KY 40743-1976
Phone (606) 770-5024
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2318427 | Structure House Recovery LLC | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Structure House Recovery LLC
- Part of
- Structure House Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- London, KY
- NPI 1073220802
Locations
318 W Dixie St
London, KY 40741
Phone (606) 595-2186
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- London, KY
- NPI 1073220802
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Substance Abuse Rehabilitation Facility
- London, KY
- NPI 1467247395
-
- Peer Specialist
- London, KY
- NPI 1952196883
-
- Peer Specialist
- London, KY
- NPI 1336801679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1275406324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1976",
"city": "LONDON",
"state": "KY",
"postal_code": "407431976",
"telephone_number": "606-770-5024",
"fax_number": "606-770-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W DIXIE ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411939",
"telephone_number": "606-770-5024",
"fax_number": "606-770-5025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRUCTURE HOUSE RECOVERY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STRUCTURE HOUSE RECOVERY LLC",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CAMERON",
"authorized_official_title_or_position": "PROGRAM ETHICS & COMPLIANCE OFFICER",
"authorized_official_telephone_number": "606-729-7119"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.