Active NPI
Stafford Counseling and Consulting
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1689499253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STAFFORD COUNSELING AND CONSULTING
- Practice address
- 2632 Wendell Ave
Louisville, KY 40205-3138 - Phone
- (502) 260-0474
- NPI assigned
- Nov 19, 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
- Kelley Ellen Stafford, LCSW
- Title
- Owner
- Phone
- (502) 260-0474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2632 Wendell Ave
Louisville, KY 40205-3138
Mailing address
2240 Taylorsville Rd # 5284
Louisville, KY 40205-2146
Phone (502) 260-0474
National Provider Directory
National Provider DirectoryLocations
2240 Taylorsville Rd
#5284
Louisville, KY 40205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1689499253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 TAYLORSVILLE RD # 5284",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052146",
"telephone_number": "502-260-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 WENDELL AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053138",
"telephone_number": "502-260-0474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAFFORD COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "KELLEY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-260-0474",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 19, 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.