Active NPI
Amanda Stephens
- Counselor
- Elizabethtown, KY
National Provider Identifier
1326414855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1311 N Dixie Hwy # a
Elizabethtown, KY 42701-2621 - Phone
- (270) 765-2605
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1311 N Dixie Hwy # a
Elizabethtown, KY 42701-2621
Mailing address
4201 Bridgewater CV
Apartment 11
Louisville, KY 40207-5315
Phone (812) 459-9934
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1326414855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BRIDGEWATER CV",
"address_2": "APARTMENT 11",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402075315",
"telephone_number": "812-459-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 N DIXIE HWY # A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012621",
"telephone_number": "270-765-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.