NPIMap

Organization Active NPI

Stability Counseling and Associates LLC

  • Mental Health Counselor
  • Henderson, KY
National Provider Identifier
1689170938
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3299 Issued in KY
Legal business name
STABILITY COUNSELING AND ASSOCIATES LLC
Practice address
230 2ND St Ste 406
Henderson, KY 42420-3174
Phone
(812) 550-5154
Fax
(855) 718-2663
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Stephen Roehm, LCSWNPI 1093009581
Title
Therapist/Owner
Phone
(812) 550-5154

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3299 KY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3299 KY
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

230 2ND St Ste 406
Henderson, KY 42420-3174

Mailing address

230 2ND St Ste 406
Henderson, KY 42420-3174
Phone (812) 550-5154

Other practice location 1

13430 Middle Delaware Rd
Henderson, KY 42420-9548
Phone (812) 550-5154

Other identifiers 1

IdentifierTypeStateIssuer
1689170938MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718000790 KY Part B Supplier - Clinic/Group Practice 8123375425 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, KY

National Provider Directory

National Provider Directory

Locations

230 2nd St
Ste 406
Henderson, KY 42420
Phone (270) 826-8761

725 Washington St
Henderson, KY 42420
Phone (812) 550-5154

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1689170938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 2ND ST STE 406",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203174",
            "telephone_number": "812-550-5154",
            "fax_number": "855-718-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 2ND ST STE 406",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203174",
            "telephone_number": "812-550-5154",
            "fax_number": "855-718-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13430 Middle Delaware Rd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424209548",
            "country_code": "US",
            "telephone_number": "812-550-5154",
            "fax_number": "855-718-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABILITY COUNSELING AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "ROEHM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "812-550-5154",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "3299",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3299",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689170938",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.