Christian Countzler, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1181158 Issued in KY

Practice address

635 Maxwelton CT
Lexington, KY 40508-4012

Phone

(859) 551-7322

Fax

(859) 252-1935

NPI assigned

Jan 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shepherd'S House Inc.

  • Substance Abuse Rehabilitation Facility
  • Lexington, KY
  • NPI 1861891541
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1770113987",
    "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": "859-551-7322"
        },
        {
            "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": "859-551-7322",
            "fax_number": "859-252-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTZLER",
        "first_name": "CHRISTIAN",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1181158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssa.dickens@shepherdshouseinc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Maxwelton Ct",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405084012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.shepherdshouseinc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Maxwelton Ct",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405084012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Hamilton Coulter
• Katherine Coulter, RBT
• Linda Coulter
• Counseling Association of Lexington
• Counseling Services of Lexington
• Couples Counseling Attachment Support LLC
• Courageous Pathways Counseling LLC
• Trenton Paul Courter, RN
• Coventry Oak Elementary School
• Andrea Renee Covington, APRN

• Peer Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.