Active NPI
Get Clean Online-Com
Doing business as Stay Clean
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
National Provider Identifier
1467040063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- GET CLEAN ONLINE-COM
- Doing business as
- Stay Clean
- Practice address
- 900 S 5TH St Unit 308
Louisville, KY 40203-4216 - Phone
- (502) 861-6661
- NPI assigned
- Jan 8, 2021
- 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
- Eugene Gilchrist
- Title
- Ceo
- Phone
- (502) 681-6964
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
900 S 5TH St Unit 308
Louisville, KY 40203-4216
Mailing address
900 S 5TH St Unit 308
Louisville, KY 40203-4216
Other names 1
- Stay Clean
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1467040063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 5TH ST UNIT 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402034216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 5TH ST UNIT 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402034216",
"telephone_number": "502-861-6661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GET CLEAN ONLINE-COM",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "GILCHRIST",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-681-6964"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stay Clean",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.