Active NPI
Stellar Behavioral Health LLC
- Addiction Medicine (Internal Medicine) Physician
- Louisville, KY
National Provider Identifier
1902647613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- STELLAR BEHAVIORAL HEALTH LLC
- Practice address
- 2211 Greene Way Ste 220
Louisville, KY 40220-4076 - Phone
- (859) 347-2412
- NPI assigned
- Jun 5, 2024
- Reactivated
- Aug 12, 2026
- 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
- Lisa Hastetter
- Title
- Owner
- Phone
- (859) 474-8827
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
2211 Greene Way Ste 220
Louisville, KY 40220-4076
Mailing address
2211 Greene Way
Louisville, KY 40220-4076
Phone (502) 291-5445
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2315781 | Stellar Behavioral Health LLC | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1718 Alexandria Dr
Ste 102
Lexington, KY 40504
Phone (502) 536-7083
2211 Greene Way
Ste 220
Louisville, KY 40220
Phone (502) 536-7083
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lexington, KY
- NPI 1033743489
-
- Nurse Practitioner
- Lexington, KY
- NPI 1053757591
-
- Psychiatric/Mental Health Nurse Practitioner
- Lexington, KY
- NPI 1447815857
-
- Adult Health Nurse Practitioner
- Lexington, KY
- NPI 1902353980
-
- Internal Medicine Physician
- Pikeville, KY
- NPI 1922219294
-
- Clinical Social Worker
- Lexington, KY
- NPI 1376934869
-
- Physical Medicine & Rehabilitation Physician
- Lexington, KY
- NPI 1689780009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1902647613",
"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": "2211 GREENE WAY STE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204076",
"telephone_number": "859-347-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"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": "859-474-8827"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"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 Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.