Individual provider Active NPI

Krista R. Vavro, LPCC

  • Professional Counselor
  • Shelbyville, KY
National Provider Identifier
1912024498
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0811 Issued in KY
Practice address
998 Brooks Industrial Rd
Ste. a
Shelbyville, KY 40065-8154
Phone
(502) 633-1315
Fax
(502) 633-1316
NPI assigned
Mar 22, 2007
Last updated
Mar 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0811 KY Primary

Addresses

Primary practice location

998 Brooks Industrial Rd
Ste. a
Shelbyville, KY 40065-8154

Mailing address

998 Brooks Industrial Rd
Ste. a
Shelbyville, KY 40065-8154
Phone (502) 633-1315

Other identifiers 6

IdentifierTypeStateIssuer
337858OtherKYMHN
392069OtherKYBLUE CROSS BLUE SHIELD
730320000OtherKYMAGELLAN HEALTH
22017289OtherKYCIGNA
7100285210MedicaidKY
VAVROKRSOtherKYCORPHEALTH AND HUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403001705 KY Practitioner - Mental Health Counselor 0345688859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephens Behavior Consulting, LLCGroup PAC ID 1254672538, 2 clinicians

Practice addresses (Care Compare)

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone (502) 633-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Behavior Consulting, LLC CurrentSince Feb 21, 2024 Accepting new patients
Stephens Behavior Consulting, LLC Current Accepting new patients
Brighter Hope, LLC PastSince Feb 21, 2024 Accepting new patients
Capernaum Care, Inc. Past Accepting new patients

Locations

5895 W Highway 146
Crestwood, KY 40014
Phone (502) 386-6754

998 Brooks Industrial Rd
Shelbyville, KY 40065
Phone (502) 529-6240

998 Brooks Industrial Rd
Ste A
Shelbyville, KY 40065
Phone (502) 633-1315

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1912024498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "address_2": "STE. A",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "address_2": "STE. A",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRO",
        "first_name": "KRISTA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "337858",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "392069",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "730320000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "22017289",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100285210",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPHEALTH AND HUMANA",
            "identifier": "VAVROKRS",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.