Individual provider Active NPI

Stephanie Walker, LPCC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1922668367
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103023 Issued in KY
Practice address
1507 Dellwood Dr
Louisville, KY 40216-4031
Phone
(502) 553-3391
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 103023 KY Primary

Addresses

Primary practice location

1507 Dellwood Dr
Louisville, KY 40216-4031

Mailing address

1507 Dellwood Dr
Louisville, KY 40216-4031
Phone (502) 553-3391

Other practice location 1

1507 Dellwood Dr
Louisville, KY 40216-4031

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapyhelps07@gmail.com Direct

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
I20240311001512 KY Practitioner - Mental Health Counselor 1850737040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8814 Talon Ridge Dr
Louisville, KY 40229-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103023KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Family Therapy Center Inc. Single Specialty CurrentSince Jan 26, 2024 Accepting new patients
Evolved Counseling CurrentSince Jan 1, 2024 Accepting new patients
Wellspace Psychiatry LLC Single Specialty CurrentSince Jan 26, 2024 Accepting new patients

Locations

9700 Park Plaza Ave
Unit 210
Louisville, KY 40241
Phone (502) 419-4289

10300 Brookridge Village Blvd
Ste 104
Louisville, KY 40291
Phone (502) 727-8697

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1922668367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 DELLWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164031",
            "telephone_number": "502-553-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DELLWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164031",
            "telephone_number": "502-553-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Dellwood Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402164031",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHANIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapyhelps07@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "1507 Dellwood Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402164031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.