Active NPI
Mind Body & Soul Life Coach Case Management & Behavioral Health Services
- Clinical Social Worker
- Elizabethtown, KY
National Provider Identifier
1508676263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MIND BODY & SOUL LIFE COACH CASE MANAGEMENT & BEHAVIORAL HEALTH SERVICES
- Practice address
- 551 Westport Rd Ste D
Elizabethtown, KY 42701-2950 - Phone
- (502) 293-8926
- NPI assigned
- Jan 13, 2025
- 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
- Mrs. Darlena Kay Smith, LCSW
- Title
- Owner
- Phone
- (502) 249-9617
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
551 Westport Rd Ste D
Elizabethtown, KY 42701-2950
Mailing address
551 Westport Rd Ste D
Elizabethtown, KY 42701-2950
Phone (502) 293-8926
National Provider Directory
National Provider DirectoryLocations
100 Gray St
Elizabethtown, KY 42701
Phone (270) 360-0419
110 Chase Way
Ste 1
Elizabethtown, KY 42701
Phone (502) 293-8926
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Elizabethtown, KY
- NPI 1710675350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1508676263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 WESTPORT RD STE D",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012950",
"telephone_number": "502-293-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 WESTPORT RD STE D",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012950",
"telephone_number": "502-293-8926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND BODY & SOUL LIFE COACH CASE MANAGEMENT & BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DARLENA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-249-9617",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.