Active NPI
Shiloh Counseling, PLLC
- Clinical Social Worker
- London, KY
National Provider Identifier
1811236557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SHILOH COUNSELING, PLLC
- Practice address
- 272 London Mountain View Dr
London, KY 40741-6601 - Phone
- (606) 878-1131
- NPI assigned
- Jan 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Jean Smith, LCSW
- Title
- Clinical Director
- Phone
- (606) 231-2614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY | Primary |
Addresses
Primary practice location
272 London Mountain View Dr
London, KY 40741-6601
Mailing address
272 London Mountain View Dr
London, KY 40741-6601
Phone (606) 878-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100152000 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359590400000",
"number": "1811236557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 LONDON MOUNTAIN VIEW DR",
"city": "LONDON",
"state": "KY",
"postal_code": "407416601",
"telephone_number": "606-878-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 LONDON MOUNTAIN VIEW DR",
"city": "LONDON",
"state": "KY",
"postal_code": "407416601",
"telephone_number": "606-878-1131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHILOH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "606-231-2614",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100152000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.