NPIMap

Organization Active NPI

Stepworks Recovery Centers LLC

  • Rural Health Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1932744745
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STEPWORKS RECOVERY CENTERS LLC
Practice address
2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991
Phone
(270) 765-5900
Fax
(270) 982-1284
NPI assigned
Nov 15, 2019
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Abby Diaz Harpool
Title
Credentialing
Phone
(270) 317-0169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991

Mailing address

PO Box 6209
Elizabethtown, KY 42702-6209
Phone (888) 259-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180208003089 KY Part B Supplier - Clinic/Group Practice 1456611599 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabethtown, KY; Versailles, KY; Paducah, KY; Nicholasville, KY; London, KY; Bowling Green, KY
O20200212000794 KY Part A Provider - Rural Health Clinic 1456611599 Practice locations: Elizabethtown, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932744745. Details of each certification follow.

Rural health clinic certification: CCN B03821

Legal name
STEPWORKS RECOVERY CENTERS LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 8, 2020
Last certification
Apr 21, 2023
Ownership / control type
1C
Organization structure
LLCProprietary
Incorporated
Jul 25, 2014 in KY
Enrollment address
201 Peterson Dr
Elizabethtown, KY 42701-9370

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Stepworks Recovery Centers8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

1400 N 10th St
Paducah, KY 42001

209 N Main St
Ste A
Versailles, KY 40383

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deron Bibb Individual 5% Or Greater Direct Ownership InterestCfo Dec 1, 2019 7.92%
Corporate OfficerCfo Dec 1, 2019
W-2 Managing EmployeeCfo Dec 1, 2019
Andrew Ingram Individual 5% Or Greater Direct Ownership InterestCoo Dec 1, 2019 22.27%
Corporate OfficerCoo Dec 1, 2019
W-2 Managing EmployeeCoo Dec 1, 2019
Gregory D Smith Individual 5% Or Greater Direct Ownership InterestMedical Director Dec 1, 2019 11.44%
W-2 Managing EmployeeMedical Director Dec 1, 2019
Thomas G Ingram Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2019 48.11%
Corporate OfficerCeo Dec 1, 2019
W-2 Managing EmployeeCeo Dec 1, 2019
Linda Stamp Individual W-2 Managing EmployeeBilling Director Dec 1, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1932744745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6209",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026209",
            "telephone_number": "888-259-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RING RD STE 500",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017991",
            "telephone_number": "270-765-5900",
            "fax_number": "270-982-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPWORKS RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HARPOOL",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "270-317-0169"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.