East Louisville Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1293 Issued in KY

Legal business name

EAST LOUISVILLE COUNSELING, PLLC

Practice address

714 Lyndon LN
Suite 7
Louisville, KY 40222-4643

Phone

(502) 592-8525

Fax

(502) 425-2540

NPI assigned

Dec 17, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Maugans-Smith, LCSWNPI 1144309964

Title

Chief Executive Officer

Phone

(502) 592-8525

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kimberly Ann Maugans-Smith, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1144309964
  NPD (past) Authorized official
• Janna Donovan, LPCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1003178864
  NPD (past)

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396808069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "SUITE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-592-8525",
            "fax_number": "502-425-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "SUITE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-592-8525",
            "fax_number": "502-425-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LOUISVILLE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUGANS-SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "502-592-8525",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East Louisville Dental Group
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• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.