Ad Astra Collaborative Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AD ASTRA COLLABORATIVE THERAPY

Practice address

940 Willards Lane
Brandenburg, KY 40108

Phone

(502) 203-9197

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Kendrick, LCSW, LMFTNPI 1063781441

Title

Therapist - Owner

Phone

(502) 203-9197

Specialties & licenses 2

Addresses

Other names 1

• Ad Astra Counseling LLC Former legal business name

Practitioners 1

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

• Jennifer Irene Schinke Kendrick, LISW

  • Clinical Social Worker
  • Brandenburg, KY
  • NPI 1063781441
  NPD Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1891237442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WILLARDS LANE",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "502-203-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WILLARDS LANE",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "40108",
            "telephone_number": "502-203-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD ASTRA COLLABORATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST - OWNER",
        "authorized_official_telephone_number": "502-203-9197",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "104353",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ad Astra Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Tina B Allen, MAED-IECE
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• Jo Babb

• All providers in Brandenburg, KY
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.