Individual provider Active NPI

Sean Schomp, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
National Provider Identifier
1710540273
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
278649 Issued in KY
Practice address
635 Maxwelton CT
Lexington, KY 40508-4012
Phone
(859) 252-1939
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 278649 KY Primary

Addresses

Primary practice location

635 Maxwelton CT
Lexington, KY 40508-4012

Mailing address

635 Maxwelton CT
Lexington, KY 40508-4012
Phone (859) 252-1939

Other identifiers 1

IdentifierTypeStateIssuer
407632OtherKYKENTUCKY BOARD OF DRUG COUNSELORS

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

LicenseStateTypeSpecialty
278649KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd'S House Inc. Current Accepting new patients

Locations

635 Maxwelton Ct
Lexington, KY 40508
Phone (859) 252-1939

Organizations & group practices 1

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1710540273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAXWELTON CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405084012",
            "telephone_number": "859-252-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MAXWELTON CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405084012",
            "telephone_number": "859-252-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMP",
        "first_name": "SEAN",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "278649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF DRUG COUNSELORS",
            "identifier": "407632",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.