| Kevin Canfield, LPCC | |
|
4135 Dixie Hwy, Elsmere, KY 41018-1815 | |
| (833) 510-4357 | |
| (866) 460-2997 |
| Full Name | Kevin Canfield |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4135 Dixie Hwy, Elsmere, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104238054 | NPI | - | NPPES |
| 1104238054 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 175309 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 175309 (Kentucky) | Primary |
| Entity Name | Northern Kentucky Mental Health Mental Retardation Regional Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578527610 PECOS PAC ID: 3870584683 Enrollment ID: O20040520000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Canfield, LPCC 615 Elsinore Pl, Cincinnati, OH 45202-1459 Ph: (833) 510-4357 | Kevin Canfield, LPCC 4135 Dixie Hwy, Elsmere, KY 41018-1815 Ph: (833) 510-4357 |
Jill Renee Pawlowski, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 833-510-4357 | |
Jennifer Couch, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 513-834-7063 | |
Carolyn S Brossart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 833-510-4357 Fax: 866-460-2997 | |
Toni Amanda Linville, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 833-510-4357 Fax: 866-460-2997 | |
Shauna Vanessa Bratton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3825 Dixie Hwy, Elsmere, KY 41018 Phone: 859-342-2551 | |
Elizabeth Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 833-510-4357 Fax: 866-460-2997 |