Organization Active NPI

Counseling Association of Lexington

  • Clinical Social Worker
  • Georgetown, KY
National Provider Identifier
1346631512
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6157 Issued in KY
Legal business name
COUNSELING ASSOCIATION OF LEXINGTON
Practice address
203 Champion Way Ste 7
Georgetown, KY 40324-8861
Phone
(502) 867-1336
NPI assigned
Feb 10, 2015
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Daniel Lee, LCSWNPI 1689825671
Title
Therapist
Phone
(859) 494-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1297 KY
Clinical Social Worker 1041C0700X 6157 KY Primary

Addresses

Primary practice location

203 Champion Way Ste 7
Georgetown, KY 40324-8861

Mailing address

274 Southland Dr
#204
Lexington, KY 40503-1946
Phone (859) 278-3456

Other practice location 1

115 N Broadway St
Suite 1
Georgetown, KY 40324-1301
Phone (502) 867-1336

National Provider Directory

National Provider Directory
Tax ID family
Counseling Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 N Broadway St
#1
Georgetown, KY 40324
Phone (502) 867-1336

203 Champion Way
Ste 7
Georgetown, KY 40324
Phone (270) 225-4033

Practitioners & affiliated clinicians

Practitioners 2

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1346631512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SOUTHLAND DR",
            "address_2": "#204",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031946",
            "telephone_number": "859-278-3456",
            "fax_number": "502-867-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CHAMPION WAY STE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248861",
            "telephone_number": "502-867-1336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Broadway St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241301",
            "country_code": "US",
            "telephone_number": "502-867-1336",
            "fax_number": "502-867-8164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATION OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "859-494-2388",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.