Individual provider Active NPI

Kenadi Durbin

  • Clinical Social Worker
  • Bardstown, KY
National Provider Identifier
1700677341
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260338 Issued in KY
Practice address
120 W Stephen Foster Ave Ste 100
Bardstown, KY 40004-1457
Phone
(502) 472-7293
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 260338 KY Primary

Addresses

Primary practice location

120 W Stephen Foster Ave Ste 100
Bardstown, KY 40004-1457

Mailing address

8134 New la Grange Rd Ste 100
Louisville, KY 40222-4677
Phone (502) 472-7293

Other practice location 1

1345 Templin Ave
Bardstown, KY 40004-2523
Phone (502) 472-7293

Other practice location 2

1013 Granite Dr
Bardstown, KY 40004-2013
Phone (502) 349-3100

Other practice location 3

400 N 5th St
Bardstown, KY 40004-1616
Phone (502) 472-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602002156 KY Practitioner - Clinical Social Worker 8921517947 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Counseling and Consulting, LLC Clinical CurrentSince Jul 17, 2025 Accepting new patients
Astra Behavioral Health LLC CurrentSince May 21, 2025 Accepting new patients
Lucas Counseling and Consulting, LLC PastSince Aug 17, 2025 Accepting new patients

Locations

120 W Stephen Foster Ave
Ste 100
Bardstown, KY 40004
Phone (502) 501-7946

1000 Templin Ave
Bardstown, KY 40004
Phone (502) 331-8810

980 Templin Ave
Bardstown, KY 40004
Phone (502) 331-8804

400 N 5th St
Bardstown, KY 40004
Phone (502) 331-8802

410 N 5th St
Bardstown, KY 40004
Phone (502) 331-8803

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

8134 New La Grange Rd
Ste 100
Louisville, KY 40222
Phone (502) 767-0415

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1700677341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224677",
            "telephone_number": "502-472-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 100",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-472-7293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Templin Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042523",
            "country_code": "US",
            "telephone_number": "502-472-7293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013 Granite Dr",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042013",
            "country_code": "US",
            "telephone_number": "502-349-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400041616",
            "country_code": "US",
            "telephone_number": "502-472-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "KENADI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.