Individual provider Active NPI

Carol Anne Lothery, LPCA

  • Counselor
  • Elizabethtown, KY
National Provider Identifier
1801168448
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
KY-0812 Issued in KY
Practice address
300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1704
Phone
(270) 982-0855
Fax
(270) 982-0866
NPI assigned
Jan 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KY-0812 KY Primary

Addresses

Primary practice location

300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1704

Mailing address

300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1704
Phone (270) 982-0855

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
KY-0812KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Center LLC CurrentSince Dec 13, 2024 Accepting new patients

Locations

300 W Dixie Ave
Ste 200
Elizabethtown, KY 42701
Phone (270) 982-0853

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": "1327708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1801168448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011704",
            "telephone_number": "270-982-0855",
            "fax_number": "270-982-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011704",
            "telephone_number": "270-982-0855",
            "fax_number": "270-982-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHERY",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "KY-0812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.