Organization Active NPI

Stafford Counseling and Consulting

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1689499253
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 19, 2024

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.