Neurodiverse Therapy, LLC
NPI 1255020368 · Social Worker · Fort Knox, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neurodiverse Therapy, LLC is a Social Worker organization in Fort Knox, KY (NPI 1255020368).
Provider details
- NPI number
- 1255020368
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacey Zimmerman, Lcsw/ Owner(561) 414-6016
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-04
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Frequently asked questions
- What is Neurodiverse Therapy, LLC's NPI number?
- Neurodiverse Therapy, LLC's National Provider Identifier (NPI) is 1255020368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neurodiverse Therapy, LLC?
- Neurodiverse Therapy, LLC is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Neurodiverse Therapy, LLC located?
- Neurodiverse Therapy, LLC's practice location on file with NPPES is 209 Willow Ave, Fort Knox, KY 40121-4513.
- What is Neurodiverse Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Neurodiverse Therapy, LLC is (561) 414-6016.
- Does Neurodiverse Therapy, LLC accept Medicare?
- Neurodiverse Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Neurodiverse Therapy, LLC?
- The authorized official listed on Neurodiverse Therapy, LLC's NPPES record is Stacey Zimmerman, Lcsw/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neurodiverse Therapy, LLC's NPI active?
- Yes — Neurodiverse Therapy, LLC's NPI (1255020368) is active in the NPPES registry as of the last update on 2023-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.