Revelation Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REVELATION COUNSELING CENTER

Practice address

1040 S Preston St
Louisville, KY 40203-2763

Phone

(502) 224-4478

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. La'Shonda Nicole Fletcher, LMFTANPI 1497267926

Title

Director/Lead Therapist/Owner

Phone

(502) 224-4478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• La'Shonda Nicole Fletcher

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1497267926
  NPD (past) Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1356702161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032763",
            "telephone_number": "502-224-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032763",
            "telephone_number": "502-224-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "LA'SHONDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR/LEAD THERAPIST/OWNER",
        "authorized_official_telephone_number": "502-224-4478",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFTA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reul Chiropractic LLC
• Brenda Wells Reul, LCSW
• Devin Reul
• Richard T Reul, D.C.
• Barton H Reutlinger, M.D.
• Caitlin Revell, MS, BCBA, LBA
• Carol Revell, RPH
• Tisa Marie Revels, SA-C, KCSA
• Danielle Revert, APRN
• Lynde Revert, LCSW

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.