STEPHANIE RENEE GWINN LPCC
NPI 1174088223
Counselor - Addiction (Substance Use Disorder) in Corbin, KY

Active since February 04, 2019PECOS Enrolled
523 OAK RIDGE CHURCH RD, CORBIN, KY 40701(606) 215-3008 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Jan 23, 2023, Nov 21, 2022 and 2 more (5 updates tracked since 2019).

About Stephanie Renee Gwinn Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE RENEE GWINN LPCC (NPI 1174088223) is an individual addiction (substance use disorder) provider in Corbin, Kentucky, licensed in Kentucky (281764) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174088223
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE RENEE GWINNCredential: LPCC
Location Address523 OAK RIDGE CHURCH RDCorbin, KY 40701-5238
Mailing Address610 Smith LnLondon, KY 40741-2822 · (606) 215-3008
Sole ProprietorNo
Enumeration DateFebruary 4, 2019
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1174088223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 281764
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 281674 (KY)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 281674 (KY)
523 OAK RIDGE CHURCH RD, Corbin, KY 40701

Secondary Practice Locations 4

Location 1189 Highway 192 WLondon, KY 40741 · Phone (606) 657-5470 · Fax (606) 657-5472
Location 22645 N Laurel Rd Ste ALondon, KY 40741-9075 · Phone (833) 510-4357
Location 3225 E Peachtree St Ste 2Corbin, KY 40701-2596 · Phone (606) 261-2060
Location 421 Middleground WayLondon, KY 40744-9175 · Phone (606) 657-5470 · Fax (606) 657-5472

Other Identifiers 1

Medicaid7100865430KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Renee Gwinn Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
523 OAK RIDGE CHURCH RD
CORBIN, KY 40701
Clinic/Center (Recovery Care)
523 OAK RIDGE CHURCH RD
CORBIN, KY 40701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gwinn's NPI number?

The NPI number for Stephanie Gwinn is 1174088223. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Stephanie Gwinn located?

Stephanie Gwinn practices at 523 Oak Ridge Church Rd, Corbin, KY 40701. The listed phone number is (606) 215-3008.

What is Stephanie Gwinn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Stephanie Gwinn enrolled in Medicare?

Yes. Stephanie Gwinn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Gwinn was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.