Active NPI
Stephanie Amber Gentile, LPCA, TCADC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1538622295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 246633
- Practice address
- 1169 Eastern Pkwy Ste 1124
Louisville, KY 40217-1462 - Phone
- (502) 309-9751
- NPI assigned
- Apr 10, 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 | 246633 | KY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 243711 | KY |
Addresses
Primary practice location
1169 Eastern Pkwy Ste 1124
Louisville, KY 40217-1462
Mailing address
1169 Eastern Pkwy Ste 1124
Louisville, KY 40217-1462
Phone (502) 509-4185
Other practice location 1
12730 Townepark Way Ste 201
Louisville, KY 40243-2303
Phone (502) 254-9555
Other practice location 2
30 Stonecrest Ct Ste 100
Shelbyville, KY 40065-8128
Phone (502) 437-0859
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 |
|---|---|---|---|
| 243711 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 246633 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1538622295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 1124",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171462",
"telephone_number": "502-509-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY STE 1124",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171462",
"telephone_number": "502-309-9751"
}
],
"practiceLocations": [
{
"address_1": "12730 Townepark Way Ste 201",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402432303",
"country_code": "US",
"telephone_number": "502-254-9555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Stonecrest Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "KY",
"postal_code": "400658128",
"country_code": "US",
"telephone_number": "502-437-0859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTILE",
"first_name": "STEPHANIE",
"middle_name": "AMBER",
"name_prefix": "Miss",
"credential": "LPCA, TCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "246633",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "243711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 11, 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.