Organization Active NPI

Stellar Behavioral Health LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
National Provider Identifier
1841017100
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
STELLAR BEHAVIORAL HEALTH LLC
Practice address
1830 Versailles Rd
Lexington, KY 40504-1402
Phone
(859) 347-2412
NPI assigned
Sep 26, 2024
Reactivated
Aug 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Lisa Hastetter
Title
Owner
Phone
(812) 760-5472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1830 Versailles Rd
Lexington, KY 40504-1402

Mailing address

2211 Greene Way
Louisville, KY 40220-4076
Phone (502) 291-5445

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2313070Stellar Behavioral Health LLC1830 Versailles Rd, Lexington, KY 40504Certificate of waiverSep 9, 2027

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1841017100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204076",
            "telephone_number": "502-291-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041402",
            "telephone_number": "859-347-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "deactivation_date": "2026-07-02",
        "reactivation_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "HASTETTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-760-5472"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.