Active NPI
Frank James Stillwell, DMIN, KLPC
- Pastoral Counselor
- Lexington, KY
National Provider Identifier
1356739205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- KLPPCO00210691
- Practice address
- 240 Rodes Ave
Lexington, KY 40508-2615 - Phone
- (859) 258-2060
- NPI assigned
- Dec 30, 2014
- Last updated
- Dec 30, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | KLPPCO00210691 | KY | Primary |
Addresses
Primary practice location
240 Rodes Ave
Lexington, KY 40508-2615
Mailing address
3704 Von Sneidern CT
Lexington, KY 40517-1960
Phone (859) 940-3241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KLPPCO00210691 | KY | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lexington, KY
- NPI 1124419148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1356739205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 VON SNEIDERN CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171960",
"telephone_number": "859-940-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 RODES AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082615",
"telephone_number": "859-258-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWELL",
"first_name": "FRANK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMIN, KLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "KY",
"license": "KLPPCO00210691",
"primary": true
}
],
"identifiers": [],
"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 Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.