Emily J Klingensmith, LPCC | |
Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 | |
(844) 435-0900 | |
Not Available |
Full Name | Emily J Klingensmith |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356701353 | NPI | - | NPPES |
14478733 | Other | KY | CAQH |
7100607120 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPCCCA00225150 (Kentucky) | Secondary |
101YM0800X | Counselor - Mental Health | 248597 (Kentucky) | Primary |
Entity Name | Hope Mental Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003438078 PECOS PAC ID: 4880025204 Enrollment ID: O20200518003135 |
Mailing Address | Practice Location Address |
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Emily J Klingensmith, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Emily J Klingensmith, LPCC Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 Ph: (844) 435-0900 |
Kristal Mullins, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6295 E Ky 70, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
William Wethington, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Jolene Blevins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg St, Liberty, KY 42539 Phone: 606-787-9472 | |
Sarah M Durham, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 75 College St, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
John W Weddle, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Matana Poff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 |