Organization Active NPI

Essential Healing Iop, Inc

  • Community/Behavioral Health Agency
  • Lexington, KY
National Provider Identifier
1417374943
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ESSENTIAL HEALING IOP, INC
Practice address
1795 Alysheba Way
1001
Lexington, KY 40509-2282
Phone
(859) 687-0416
Fax
(859) 353-4200
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Stevanie Smith, M.ED., NCC, LPCCNPI 1265857833
Title
Program Director/Therapist
Phone
(859) 687-0416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X KY
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X KY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X KY
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X KY
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X KY
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X KY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X KY
Funeral DirectorGroup: 193200000X MULTI-SPECIALTY GROUP 176P00000X KY
Community/Behavioral Health Agency 251S00000X KY Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X KY
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X KY

Addresses

Primary practice location

1795 Alysheba Way
1001
Lexington, KY 40509-2282

Mailing address

1795 Alysheba Way
1001
Lexington, KY 40509-2282
Phone (859) 687-0416

Other identifiers 3

IdentifierTypeStateIssuer
800171OtherKYBHSO - BEHAVIORAL HEALTH SERVICES ORGANIZATION
810448OtherKYAODE - ALCOHOL AND OTHER DRUG ENTITY
7100294500MedicaidKY

National Provider Directory

National Provider Directory

Locations

1795 Alysheba Way
Ste 1001
Lexington, KY 40509
Phone (859) 412-2194

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1417374943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "1001",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-687-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "1001",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-687-0416",
            "fax_number": "859-353-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALING IOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVANIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "859-687-0416",
        "authorized_official_credential": "M.ED., NCC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "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": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "176P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Funeral Director",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSO - BEHAVIORAL HEALTH SERVICES ORGANIZATION",
            "identifier": "800171",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AODE - ALCOHOL AND OTHER DRUG ENTITY",
            "identifier": "810448",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294500",
            "state": "KY"
        }
    ],
    "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 Feb 17, 2017; 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.