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NPI 1407354053ActiveOrganization· Counselor, Mental Health· La Grange, KY

Counselor, Mental Health in La Grange, Kentucky, registered in NPPES in January 2018. The authorized official on file is Tyler Stickle, M.ED., LPCC, Dir. Field Ops.

Overview

NPI1407354053
StatusActive
Entity typeOrganization
NPI issuedJan 30, 2018
Last updated in NPPESJun 16, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X1243KY
Counselor, Addiction (Substance Use Disorder)101YA0400X—KY
Counselor, Professional101YP2500X1243KY
Social Worker104100000X——
Social Worker, Clinical1041C0700X——
Marriage & Family Therapist106H00000X——
Case Manager/Care Coordinator171M00000X——
Case Management251B00000X——
Community/Behavioral Health251S00000X—KY
Foster Care Agency253J00000X——
Clinic/Center, Adolescent and Children Mental Health261QM0855X—KY
Clinic/Center, Multi-Specialty261QM1300X——
Clinic/Center, VA261QV0200X——
Prevention Professional405300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other mental health counselors in La Grange

All mental health counselors in Kentucky