Active NPI
Kristian Herron, T-CADC
- Counselor
- Elizabethtown, KY
National Provider Identifier
1669024238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 255408
- Practice address
- 2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991 - Phone
- (270) 982-1280
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 255408 | KY | Primary |
Addresses
Primary practice location
2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991
Mailing address
1820 N Miles St Apt G8
Elizabethtown, KY 42701-7950
Phone (270) 234-3712
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 |
|---|---|---|---|
| 255408 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1669024238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 N MILES ST APT G8",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017950",
"telephone_number": "270-234-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 RING RD STE 500",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017991",
"telephone_number": "270-982-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "KRISTIAN",
"credential": "T-CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "255408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.