Active NPI
Malissa Dawn Stephens
- Mental Health Counselor
- Barbourville, KY
National Provider Identifier
1417422940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 298163
- Practice address
- 1909 Ky 3439
Barbourville, KY 40906-7201 - Phone
- (606) 546-3805
- NPI assigned
- Oct 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 298163 | KY | Primary |
Addresses
Primary practice location
1909 Ky 3439
Barbourville, KY 40906-7201
Mailing address
793 Incline Rd
Corbin, KY 40701-9566
Phone (606) 521-2996
Other practice location 1
125 S Laurel Rd
London, KY 40744-8016
Phone (606) 770-5086
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 |
|---|---|---|---|
| 298163 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartstrings Mental Health PLLC | Mental Health | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1417422940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 INCLINE RD",
"city": "CORBIN",
"state": "KY",
"postal_code": "407019566",
"telephone_number": "606-521-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 KY 3439",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067201",
"telephone_number": "606-546-3805"
}
],
"practiceLocations": [
{
"address_1": "125 S Laurel Rd",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407448016",
"country_code": "US",
"telephone_number": "606-770-5086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "MALISSA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "298163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.