Active NPI
Simply Empowering You Therapy PLLC
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1962074336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SIMPLY EMPOWERING YOU THERAPY PLLC
- Practice address
- 3499 Blazer Pkwy Ste 440
Lexington, KY 40509-2803 - Phone
- (859) 684-0852
- NPI assigned
- Jul 14, 2021
- 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
- Sara Young, LPCC
- Title
- Licensed Professional Counselor
- Phone
- (859) 684-0852
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
3499 Blazer Pkwy Ste 440
Lexington, KY 40509-2803
Mailing address
2789 Michelle Park
Lexington, KY 40511-8642
Phone (859) 684-0852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100753250 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lexington, KY
- NPI 1689087124
-
- Mental Health Counselor
- Lexington, KY
- NPI 1760894588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1962074336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2789 MICHELLE PARK",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118642",
"telephone_number": "859-684-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3499 BLAZER PKWY STE 440",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092803",
"telephone_number": "859-684-0852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY EMPOWERING YOU THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-14",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "859-684-0852",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100753250",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.