Provider Demographics
NPI:1699004572
Name:NEXT STEP COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NEXT STEP COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENAFIER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, LCADC
Authorized Official - Phone:270-300-3100
Mailing Address - Street 1:1106 TUNNEL HILL ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8067
Mailing Address - Country:US
Mailing Address - Phone:270-765-2335
Mailing Address - Fax:270-765-2557
Practice Address - Street 1:1106 TUNNEL HILL ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8067
Practice Address - Country:US
Practice Address - Phone:270-765-2335
Practice Address - Fax:270-765-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105389101YP2500X
KY105656101YP2500X
101YP2500X
KYKY-1136103T00000X
KY162525103T00000X
KY20721041C0700X
KY2523491041C0700X
KY50341041C0700X
KY40161041C0700X
KY162643106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100266510Medicaid