STEPHANIE RENEE GWINN (NPI# 1174088223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174088223 |
| Entity Type | Individual |
| Full Name | STEPHANIE RENEE GWINN |
| Credential | LPCA |
| Practice Address |
189 Highway 192 W London KY 40741 |
| Mailing Address |
189 Highway 192 W London KY 40741-2428 |
| Practice Telephone | 6066575470 |
| Practice Fax Number | 6066575472 |
| Mailing Telephone | 6066575470 |
| Mailing Fax Number | 6066575472 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 246442 | KY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 246442 | KY | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Middleground Way, London, KY 407449175 | 6066575470 | 6066575472 |
| Street Address |
189 HIGHWAY 192 W |
| City | LONDON |
| State | KY |
| Zip Code | 40741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195963 | Michael Glass Thompson | Physician Assistant | 189 Highway 192 W, London, KY 40741-2428 | 2005-09-26 |
| 1801410634 | Hannah Nicole Sears | Social Worker | 189 Highway 192 W, London, KY 40741-2428 | 2020-06-08 |
| 1265867956 | Ernest Lee Morris | Nurse Practitioner | 189 Highway 192 W, London, KY 40741-2428 | 2013-09-12 |
| 1053384271 | Martin P Kreft | Physical Therapist | 189 Highway 192 W, London, KY 40741-2428 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| 1447862560 | New Moon Counseling and Wellness, LLC | Counselor | 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 | 2020-08-19 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1588281711 | Net Law Group, Inc | Counselor | 12910 Shelbyville Rd Ste 124, Louisville, KY 40243-1594 | 2020-07-04 |
| 1114541521 | Misty R Keith | Counselor | 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 | 2020-06-01 |
| 1295356657 | Tonya R Branham | Counselor | 110 E Main St Ste 109, Georgetown, KY 40324-1780 | 2020-04-27 |
| 1548899891 | Daniel Mcglone | Counselor | 746 W Main St Ste 1, Morehead, KY 40351-1444 | 2020-04-07 |
| 1417586868 | Teresa A Davis | Counselor | 71 Cavalier Blvd Ste 303, Florence, KY 41042-5172 | 2020-04-07 |
| 1033741947 | Annemarie Lucile Armistead | Counselor | 3808 S Griffith Ave, Owensboro, KY 42301-6852 | 2020-02-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.