4 Star Guidance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

4 STAR GUIDANCE LLC

Practice address

6515 Dixie Hwy
Louisville, KY 40258-3907

Phone

(502) 488-4002

Fax

(502) 488-4002

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Keisha Key

Title

Ceo

Phone

(502) 488-4002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Russell, LPCC, CADC

  • Professional Counselor
  • Louisville, KY
  • NPI 1013469501
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1548756653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583907",
            "telephone_number": "502-488-4002",
            "fax_number": "502-488-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583907",
            "telephone_number": "502-488-4002",
            "fax_number": "502-488-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 STAR GUIDANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-03-05",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-488-4002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800291",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.