Active NPI
Essential Healing Iop, Inc
- Community/Behavioral Health Agency
- Lexington, KY
National Provider Identifier
1417374943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stevanie Smith, M.ED., NCC, LPCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | KY | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY | ||
| Mental Health Counselor | 101YM0800X | KY | ||
| Professional Counselor | 101YP2500X | KY | ||
| Psychoanalyst | 102L00000X | KY | ||
| Behavior Analyst | 103K00000X | KY | ||
| Clinical Social Worker | 1041C0700X | KY | ||
| Funeral Director | 176P00000X | KY | ||
| Community/Behavioral Health Agency | 251S00000X | KY | Primary | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | KY | ||
| Psychiatric/Mental Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800171 | Other | KY | BHSO - BEHAVIORAL HEALTH SERVICES ORGANIZATION |
| 810448 | Other | KY | AODE - ALCOHOL AND OTHER DRUG ENTITY |
| 7100294500 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
- NPI 1265857833
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.