Individual provider Active NPI

James Stewart Phelps, ATR

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1942499488
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0601 Issued in KY
Practice address
950 S 1St St
Louisville, KY 40203-2288
Phone
(502) 585-9444
Fax
(502) 585-9466
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0601 KY Primary
Art Therapist 221700000X

Addresses

Primary practice location

950 S 1St St
Louisville, KY 40203-2288

Mailing address

950 S 1St St
Louisville, KY 40203-2288
Phone (502) 585-9444

Other identifiers 1

IdentifierTypeStateIssuer
9028MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251105003705 IN Practitioner - Marriage and Family Therapist 8022508357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1205 Applegate LN
Clarksville, IN 47129-9608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Counseling Services, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Bridgehaven, Inc. PastSince Feb 27, 1997 Accepting new patients
US Psychiatry PLLC Past Accepting new patients

Locations

1205 Applegate Ln
Clarksville, IN 47129
Phone (812) 206-4278

Organizations & group practices 3

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1942499488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032288",
            "telephone_number": "502-585-9444",
            "fax_number": "502-585-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032288",
            "telephone_number": "502-585-9444",
            "fax_number": "502-585-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JAMES",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "ATR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0601",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9028",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.