Organization Active NPI

Mind Body & Soul Life Coach Case Management & Behavioral Health Services

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1508676263
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Mrs. Darlena Kay Smith, LCSWNPI 1710675350
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.