Individual provider Active NPI

Kayla Danielle Stephens, LPCA

  • Mental Health Counselor
  • Somerset, KY
National Provider Identifier
1992356489
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
244635 Issued in KY
Practice address
250 Belmont Ave Ste 3
Somerset, KY 42501-2428
Phone
(606) 772-1030
Fax
(606) 451-0558
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X 244635 KY Primary

Addresses

Primary practice location

250 Belmont Ave Ste 3
Somerset, KY 42501-2428

Mailing address

PO Box 3044
West Somerset, KY 42564-3044
Phone (606) 687-2038

Other practice location 1

200 Belmont Ave
Somerset, KY 42501
Phone (606) 687-2038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240411000810 KY Practitioner - Mental Health Counselor 7719325695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244635KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Mental Health and Wellness Mental Health CurrentSince Mar 21, 2024 Accepting new patients
Wellspring Counseling Ky Mental Health CurrentSince May 24, 2020 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. PastSince Mar 21, 2024 Accepting new patients
Wellsprings Wellness LLC Mental Health PastSince May 24, 2020 Accepting new patients
Necco, LLC Professional PastSince Sep 1, 2019 Accepting new patients

Locations

735 W Columbia Ave
Monticello, KY 42633
Phone (606) 348-9318

200 Belmont Ave
Somerset, KY 42501
Phone (606) 678-2038

250 Belmont Ave
Ste 3
Somerset, KY 42501
Phone (606) 677-0253

Organizations & group practices 5

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1992356489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3044",
            "city": "WEST SOMERSET",
            "state": "KY",
            "postal_code": "425643044",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BELMONT AVE STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012428",
            "telephone_number": "606-772-1030",
            "fax_number": "606-451-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "42501",
            "country_code": "US",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KAYLA",
        "middle_name": "DANIELLE",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "244635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.