Lifes Journey Therapy and Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1937 Issued in KY

Legal business name

LIFES JOURNEY THERAPY AND COUNSELING PLLC

Practice address

519 Licking Pike
Wilder, KY 41071-2912

Phone

(859) 441-2100

Fax

(859) 441-2111

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela M McCarthy, LCSWNPI 1558499970

Title

Owner

Phone

(859) 441-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Marie McCarthy, LCSW

  • Clinical Social Worker
  • Wilder, KY
  • NPI 1558499970

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1780123729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LICKING PIKE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410712912",
            "telephone_number": "859-441-2100",
            "fax_number": "859-441-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LICKING PIKE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410712912",
            "telephone_number": "859-441-2100",
            "fax_number": "859-441-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES JOURNEY THERAPY AND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-441-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100445770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kaiser
• Kristine Kerestan Garbig, O.D.
• Melinda J Koeninger, PT
• Damara Lackmeyer, MPT, CLT-LANA, CCI
• Julie Ann Lester, ATC
• Amanda Mae, BS
• Tiffany Maple, LMT
• Akiko Marui, LPCC
• Pamela Marie McCarthy, LCSW
• Mindlift LLC

• All providers in Wilder, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.