Wellfront Readiness Solutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1243 Issued in KY

Legal business name

WELLFRONT READINESS SOLUTIONS

Practice address

207 Parker Dr Unit 2B
La Grange, KY 40031-1269

Phone

(502) 418-3469

NPI assigned

Jan 30, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Stickle, M.ED., LPCCNPI 1669778122

Title

Dir. Field Ops

Phone

(502) 418-3469

Specialties & licenses 14

Addresses

Other names 1

• WellFront Behavioral Health Other name

Locations

Practitioners 1

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.

• Tyler Stickle, M.ED., LPCC

  • Mental Health Counselor
  • La Grange, KY
  • NPI 1669778122
  NPD (past) Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1407354053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 BURNT HILL RD",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "400269553",
            "telephone_number": "502-418-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PARKER DR UNIT 2B",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311269",
            "telephone_number": "502-418-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Burnt Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "KY",
            "postal_code": "400269553",
            "country_code": "US",
            "telephone_number": "502-418-3469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5135 Dixie Hwy Ste 15C",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161771",
            "country_code": "US",
            "telephone_number": "502-418-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLFRONT READINESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STICKLE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DIR. FIELD OPS",
        "authorized_official_telephone_number": "502-418-3469",
        "authorized_official_credential": "M.ED., LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1243",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1243",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellFront Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda H Wathen
• Misty Shellette Watkins
• David O Watts, CST SFA
• Tracy Michelle Webb
• John Wehry
• Lori Wence
• Diane K. Wetherton, M.D.
• Elizabeth Paige Whitaker, PHARMD
• Jennifer Turner Whitaker, PHARM D
• Christopher Byron White, CRNA

• Mental Health Counselor in La Grange, KY
• Providers in La Grange, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.