31:2 Counseling Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

31:2 COUNSELING GROUP, LLC

Practice address

111 N Woodland Dr Ste B
Radcliff, KY 40160-2678

Phone

(270) 348-4840

NPI assigned

May 5, 2019

Organization subpart

No

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

Authorized official

Name

Charles Lewis, LCSWNPI 1316304173

Title

Therapist/Owner

Phone

(270) 807-0533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Lewis

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1316304173
  NPD Authorized official

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1992360085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MEDICAL CENTER DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401608959",
            "telephone_number": "270-348-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DR STE B",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602678",
            "telephone_number": "270-348-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "31:2 COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-05",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "270-807-0533",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100560030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Place to Belong Home Care Agency
• Robin Carol Abbott, OTR/L
• Abigail Elizabeth Adams
• Alexander B Aldridge
• Hariklia Alexatos-Wilk, M.D.

• Clinical Social Worker in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.