Organization Active NPI

Capernaum Care, Inc.

  • Counselor
  • Shelbyville, KY
National Provider Identifier
1770356719
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CAPERNAUM CARE, INC.
Practice address
800 Main St Ste 17
Shelbyville, KY 40065-1224
Phone
(502) 321-9587
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Todd Claypool, KLPC; LPCANPI 1811738594
Title
Executive Director
Phone
(502) 321-9587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

800 Main St Ste 17
Shelbyville, KY 40065-1224

Mailing address

800 Main St Ste 17
Shelbyville, KY 40065-1224
Phone (502) 321-9587

National Provider Directory

National Provider Directory

Locations

800 Main St
Ste 17
Shelbyville, KY 40065
Phone (502) 321-9587

Practitioners & affiliated clinicians

Practitioners 2

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": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1770356719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 17",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651224",
            "telephone_number": "502-321-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 17",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651224",
            "telephone_number": "502-321-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPERNAUM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CLAYPOOL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-321-9587",
        "authorized_official_credential": "KLPC; LPCA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.