| Bluegrass Professional Counseling, Llc | |
|
103 East South Street Munfordville KY 42765 | |
| (270) 696-3181 | |
| (877) 308-1668 |
| Full Name | Bluegrass Professional Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 103 East South Street, Munfordville, Kentucky |
| Authorized Official Name and Position | Jan Hatcher (MANAGING EMPLOYEE) |
| Authorized Official Contact | 2706963181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Professional Counseling, Llc 103 E South St Munfordville KY 42765-9023 Ph: (270) 696-3181 | Bluegrass Professional Counseling, Llc 103 East South Street Munfordville KY 42765 Ph: (270) 696-3181 |
| NPI Number | 1063899789 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 3476815085 |
|---|---|
| Medicare Enrollment ID | O20180320000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063899789 | NPI | - | NPPES |
| 7100326630 | Medicaid | KY | |
| 7100366710 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 00211339 (Kentucky) | Primary |
| 104100000X | Social Worker | 6908 (Kentucky) | Secondary |
| Provider Name | Shawn M Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598273062 PECOS PAC ID: 7113280199 Enrollment ID: I20180405000775 |
| Provider Name | Ashley Michelle Foster-flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770119505 PECOS PAC ID: 3678934924 Enrollment ID: I20230802002678 |
| Provider Name | Robert R Cassman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316142151 PECOS PAC ID: 6901253947 Enrollment ID: I20231113001144 |
| Provider Name | Chonda Saettel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124664677 PECOS PAC ID: 7113366675 Enrollment ID: I20240416003801 |
| Provider Name | Belinda Conrad Harlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376178368 PECOS PAC ID: 6507302643 Enrollment ID: I20240724003768 |
| Provider Name | Stefany Vaughn Mack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174038293 PECOS PAC ID: 6002353042 Enrollment ID: I20240807004005 |
| Provider Name | Kara Morgan Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285263343 PECOS PAC ID: 4789121773 Enrollment ID: I20240808001249 |
| Provider Name | Chelsea Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639542707 PECOS PAC ID: 8325585326 Enrollment ID: I20240808001644 |
| Provider Name | Michael Billy Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700244829 PECOS PAC ID: 0547708976 Enrollment ID: I20240816002339 |
| Provider Name | Courtney Danielle Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750953121 PECOS PAC ID: 7911446455 Enrollment ID: I20240828001144 |
| Provider Name | Coleman Shaw Torbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740877976 PECOS PAC ID: 7517406952 Enrollment ID: I20240828005113 |
| Provider Name | Lindsay Megan Lloyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427739143 PECOS PAC ID: 1557892718 Enrollment ID: I20240930002078 |
| Provider Name | Lindsay Megan Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427739143 PECOS PAC ID: 1557892718 Enrollment ID: I20241002003049 |
| Provider Name | Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356901730 PECOS PAC ID: 7113458555 Enrollment ID: I20241009001395 |
| Provider Name | Alexa Nicole Sheffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316668155 PECOS PAC ID: 4789116120 Enrollment ID: I20241010001558 |
| Provider Name | Donna Agee |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1114018587 PECOS PAC ID: 1759813694 Enrollment ID: I20241016001842 |
| Provider Name | Stacy Kuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508497165 PECOS PAC ID: 0941732655 Enrollment ID: I20241019000311 |
Life's Journey Recovery Limited Liability Limited Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Old St, Munfordville, KY 42765 Phone: 270-218-2652 |