Active NPI
North Star Counseling Services, LLC
- Mental Health Counselor
- Madisonville, KY
National Provider Identifier
1922749894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NORTH STAR COUNSELING SERVICES, LLC
- Practice address
- 163 W Arch St
Madisonville, KY 42431-1960 - Phone
- (270) 452-9488
- NPI assigned
- Apr 5, 2022
- Last updated
- Nov 7, 2024
- 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
- Dawn Tedder, LPCC
- Title
- Owner
- Phone
- (270) 452-9488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
163 W Arch St
Madisonville, KY 42431-1960
Mailing address
PO Box 172
Madisonville, KY 42431-0003
Phone (270) 452-9488
National Provider Directory
National Provider DirectoryLocations
163 W Arch St
Madisonville, KY 42431
Phone (270) 452-9488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1922749894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424310003",
"telephone_number": "270-452-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 W ARCH ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311960",
"telephone_number": "270-452-9488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STAR COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "TEDDER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-452-9488",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.