Active NPI
Stephclemm Art Therapy LLC
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1619693215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STEPHCLEMM ART THERAPY LLC
- Practice address
- 214 Breckenridge LN Ste 203
Louisville, KY 40207-3879 - Phone
- (502) 200-9836
- NPI assigned
- Oct 14, 2022
- 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
- Stephanie Jo Clemmons, LPCC
- Title
- Owner
- Phone
- (502) 291-4094
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
214 Breckenridge LN Ste 203
Louisville, KY 40207-3879
Mailing address
3917 Hycliffe Ave
Louisville, KY 40207-3838
Phone (502) 291-4094
Other practice location 1
3917 Hycliffe Ave
Louisville, KY 40207-3838
Phone (502) 200-9836
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Louisville, KY
- NPI 1093051229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1619693215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 HYCLIFFE AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073838",
"telephone_number": "502-291-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BRECKENRIDGE LN STE 203",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073879",
"telephone_number": "502-200-9836"
}
],
"practiceLocations": [
{
"address_1": "3917 Hycliffe Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402073838",
"country_code": "US",
"telephone_number": "502-200-9836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEPHCLEMM ART THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-14",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "CLEMMONS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-291-4094",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.