Active NPI
Stacy R Springston, LPCC
- Professional Counselor
- Georgetown, KY
National Provider Identifier
1467794750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 105836
- Practice address
- 150 Westwoods Dr
Georgetown, KY 40324-9468 - Phone
- (502) 229-9900
- NPI assigned
- Mar 25, 2013
- Last updated
- Jan 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1392 | KY | |
| Professional Counselor | 101YP2500X | 105836 | KY | Primary |
Addresses
Primary practice location
150 Westwoods Dr
Georgetown, KY 40324-9468
Mailing address
150 Westwoods Dr
Georgetown, KY 40324-9468
Phone (502) 229-9900
Other practice location 1
1009 Sea Biscuit Dr
Lawrenceburg, KY 40342-1755
Phone (502) 229-9900
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 |
|---|---|---|---|
| 105836 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1467794750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WESTWOODS DR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249468",
"telephone_number": "502-229-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WESTWOODS DR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249468",
"telephone_number": "502-229-9900"
}
],
"practiceLocations": [
{
"address_1": "1009 Sea Biscuit Dr",
"address_purpose": "LOCATION",
"city": "Lawrenceburg",
"state": "KY",
"postal_code": "403421755",
"country_code": "US",
"telephone_number": "502-229-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRINGSTON",
"first_name": "STACY",
"middle_name": "R",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1392",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "105836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.