Active NPI
In the Scene Wellness Collective LLC
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1609647650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- IN THE SCENE WELLNESS COLLECTIVE LLC
- Practice address
- 3499 Blazer Pkwy Ste 440
Lexington, KY 40509-2803 - Phone
- (859) 338-5762
- NPI assigned
- Jan 9, 2024
- 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
- Elizabeth Etherton, MA, LPCC
- Title
- Owner/Therapist
- Phone
- (859) 338-5762
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Occupational Health Chiropractor | 111NX0100X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Health & Wellness Coach | 171400000X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
3499 Blazer Pkwy Ste 440
Lexington, KY 40509-2803
Mailing address
996 E New Circle Rd
Unit 166
Lexington, KY 40505-4127
Phone (859) 338-5762
National Provider Directory
National Provider DirectoryLocations
996 E New Circle Rd
Lexington, KY 40505
Phone (859) 312-7229
3499 Blazer Pkwy
Ste 440
Lexington, KY 40509
Phone (859) 338-5762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lexington, KY
- NPI 1760894588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1609647650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 E NEW CIRCLE RD",
"address_2": "UNIT 166",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054127",
"telephone_number": "859-338-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3499 BLAZER PKWY STE 440",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092803",
"telephone_number": "859-338-5762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN THE SCENE WELLNESS COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "ETHERTON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "859-338-5762",
"authorized_official_credential": "MA, LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Occupational Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.