Individual provider Active NPI

Heather Stephens, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1609586692
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018686 Issued in KY
Practice address
817 W Columbia St
Somerset, KY 42501-1729
Phone
(606) 401-2075
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018686 KY Primary

Addresses

Primary practice location

817 W Columbia St
Somerset, KY 42501-1729

Mailing address

817 W Columbia St
Somerset, KY 42501-1729
Phone (606) 401-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202002566 KY Practitioner - Nurse Practitioner 5193197051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Behavioral HealthGroup PAC ID 6002384674, 2 clinicians
Industrial Wellness Services of Kentucky PLLCGroup PAC ID 3577781582, 8 clinicians

Practice addresses (Care Compare)

111 Progress Dr
Suite 400
Mount Vernon, KY 40456-8590
Phone (606) 401-2075

55 Cal Hill Spur
Pine Knot, KY 42635-9194
Phone (606) 376-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018686KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grace Behavioral Health Psychiatric/Mental Health Current Accepting new patients
Industrial Wellness Services of Kentucky, PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Victory Counseling Past Accepting new patients
Victory Solutions PastSince Sep 8, 2025 Accepting new patients

Locations

55 Cal Hill Spur
Pine Knot, KY 42635
Phone (606) 376-9355

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1609586692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W COLUMBIA ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011729",
            "telephone_number": "606-401-2075",
            "fax_number": "606-202-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W COLUMBIA ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011729",
            "telephone_number": "606-401-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "HEATHER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.