Organization Active NPI

Southland Counseling and Assessment Center

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1326404880
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOUTHLAND COUNSELING AND ASSESSMENT CENTER
Practice address
2109 Eastway Dr.
Lexington, KY 40503-1901
Phone
(859) 373-0133
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Mrs. Meghan C. Shapiro, MA, LPPNPI 1043237993
Title
Owner
Phone
(859) 373-0133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2109 Eastway Dr.
Lexington, KY 40503-1901

Mailing address

2109 Eastway Dr.
Lexington, KY 40503-1901
Phone (859) 373-0133

Other identifiers 1

IdentifierTypeStateIssuer
7100269620MedicaidKY

National Provider Directory

National Provider Directory

Locations

2109 Eastway Dr
Lexington, KY 40503
Phone (859) 373-0133

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1326404880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 EASTWAY DR.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031901",
            "telephone_number": "859-373-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 EASTWAY DR.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031901",
            "telephone_number": "859-373-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND COUNSELING AND ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-373-0133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100269620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.