Organization Active NPI

Legacy Recovery for Women

  • Addiction (Substance Use Disorder) Counselor
  • Campbellsville, KY
National Provider Identifier
1487594578
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LEGACY RECOVERY FOR WOMEN
Practice address
910 Gardenia Dr
Campbellsville, KY 42718-1933
Phone
(270) 849-7312
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Mr. Derek Bishop, MBA
Title
Owner/Ceo
Phone
(270) 268-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

910 Gardenia Dr
Campbellsville, KY 42718-1933

Mailing address

910 Gardenia Dr
Campbellsville, KY 42718-1933
Phone (270) 849-7312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1487594578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GARDENIA DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181933",
            "telephone_number": "270-849-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GARDENIA DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181933",
            "telephone_number": "270-849-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RECOVERY FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "270-268-2232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.