Kentucky Counseling Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

216680 Issued in KY

Legal business name

KENTUCKY COUNSELING CENTER, LLC

Practice address

1169 Eastern Pkwy Ste 3328
Louisville, KY 40217-1415

Phone

(855) 591-0092

Fax

(502) 631-9660

NPI assigned

Feb 7, 2015

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaylee Phelps

Title

Vice President of Human Resources

Phone

(859) 625-4663

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IN, TX, TN, OR, OH, NC8 enrollments

Enrollment records 8

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blooming Behavioral Health

  • Professional Counselor
  • Somerset, KY
  • NPI 1821840174

  O20250131003097

  Same enrollment

Tax ID family

Blooming Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blooming Behavioral Health

  • Professional Counselor
  • Somerset, KY
  • NPI 1821840174
  NPD tax ID

Locations

Practitioners 268

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.

• James Acquisto

  • Clinical Social Worker
  • Georgetown, KY
  • NPI 1841017068
  Medicare reassignment Care Compare group NPD
• Stephanie Barnes, LCSW

  • Clinical Social Worker
  • Edmonton, KY
  • NPI 1326563727
  Medicare reassignment Care Compare group NPD
• Amanda L Blackburn, LMFT, CADC

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1922328319
  Medicare reassignment Care Compare group NPD
• Loretta Boone

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1528665015
  Medicare reassignment Care Compare group NPD
• Diana Kay Browning, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1366140899
  Medicare reassignment Care Compare group NPD
• Laura Buckner, LPCC

  • Mental Health Counselor
  • Morehead, KY
  • NPI 1972960755
  Medicare reassignment Care Compare group NPD
• Rachel B Bushnell, LPCC

  • Professional Counselor
  • Louisa, KY
  • NPI 1750925830
  Medicare reassignment Care Compare group NPD
• Patricia M Byers, LPCC

  • Mental Health Counselor
  • Owensboro, KY
  • NPI 1679300313
  Medicare reassignment Care Compare group NPD
• Renee Campbell, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1275201899
  Medicare reassignment Care Compare group NPD
• Crystal Cundiff-Franklin

  • Clinical Social Worker
  • Hazard, KY
  • NPI 1396054763
  Medicare reassignment Care Compare group NPD
• Lesley Ann Faucheux, LPCC, NCC

  • Professional Counselor
  • Owensboro, KY
  • NPI 1548038508
  Medicare reassignment Care Compare group NPD
• Matthew Frye

  • Professional Counselor
  • Lexington, KY
  • NPI 1922590991
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1932590338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701059",
            "address_2": "PMB 50499",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40270",
            "telephone_number": "855-591-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3328",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171415",
            "telephone_number": "855-591-0092",
            "fax_number": "502-631-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Poplar Level Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402132906",
            "country_code": "US",
            "telephone_number": "855-591-0092",
            "fax_number": "502-631-9660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Gibson Lane",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "40475",
            "country_code": "US",
            "telephone_number": "855-591-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "859-625-4663"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "216680",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "216680",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "216680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100343850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.