Organization Active NPI

Kilgore Samaritan Counseling Center

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1831294586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KILGORE SAMARITAN COUNSELING CENTER
Practice address
918 Ormsby LN
Louisville, KY 40242-4536
Phone
(502) 327-4622
Fax
(502) 327-4675
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Barry G Winstead, M.DIV, MA, LMFTNPI 1710934963
Title
Clinical Director
Phone
(502) 327-4622

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 106665 KY
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

918 Ormsby LN
Louisville, KY 40242-4536

Mailing address

918 Ormsby LN.
Louisville, KY 40242-4536
Phone (502) 327-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000478 KY Part B Supplier - Clinic/Group Practice 6608892849 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

3702 Brownsboro Rd
Louisville, KY 40207
Phone (502) 897-5305

918 Ormsby Ln
Louisville, KY 40242
Phone (502) 327-0045

Practitioners & affiliated clinicians

Practitioners 6

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831294586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ORMSBY LN.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402424536",
            "telephone_number": "502-327-4622",
            "fax_number": "502-327-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ORMSBY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402424536",
            "telephone_number": "502-327-4622",
            "fax_number": "502-327-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "502-327-4622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV, MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "106665",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.