Organization Active NPI

Stellar Behavioral Health LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1902647613
Registry record updated Sep 16, 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
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

Updated by the provider on Sep 16, 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
(859) 474-8827

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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
18D2315781Stellar Behavioral Health LLC2211 Greene Way, Ste 220, Louisville, KY 40220Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.