| Kentucky Counseling Center, Llc | |
|
1169 Eastern Pkwy Ste 3328 Louisville KY 40217-1415 | |
| (855) 591-0092 | |
| (502) 631-9660 |
| Full Name | Kentucky Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1169 Eastern Pkwy Ste 3328, Louisville, Kentucky |
| Authorized Official Name and Position | Kaylee Phelps (VICE PRESIDENT OF HUMAN RESOURCES) |
| Authorized Official Contact | 8596254663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Counseling Center, Llc Po Box 701059 Pmb 50499 Louisville KY 40270 Ph: (855) 591-0092 | Kentucky Counseling Center, Llc 1169 Eastern Pkwy Ste 3328 Louisville KY 40217-1415 Ph: (855) 591-0092 |
| NPI Number | 1932590338 |
|---|---|
| Provider Enumeration Date | 02/07/2015 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 7618221300 |
|---|---|
| Medicare Enrollment ID | O20181115002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932590338 | NPI | - | NPPES |
| 7100343850 | Medicaid | KY |
| Provider Name | Catherine Permin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265579700 PECOS PAC ID: 3971602087 Enrollment ID: I20070629000348 |
| Provider Name | Angela M Guion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336192467 PECOS PAC ID: 4082715057 Enrollment ID: I20070720000031 |
| Provider Name | Anne S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893451 PECOS PAC ID: 2961564364 Enrollment ID: I20081218000569 |
| Provider Name | Angie Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275776437 PECOS PAC ID: 3779636659 Enrollment ID: I20090727000133 |
| Provider Name | Alicia B Trager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598969933 PECOS PAC ID: 2062644032 Enrollment ID: I20140407001594 |
| Provider Name | Tricia R Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063756088 PECOS PAC ID: 3971814906 Enrollment ID: I20150617003023 |
| Provider Name | Kristin Michelle Farnsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304167 PECOS PAC ID: 9638487309 Enrollment ID: I20150929002109 |
| Provider Name | Reisha Lynn Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497189518 PECOS PAC ID: 3476863952 Enrollment ID: I20151112002681 |
| Provider Name | Jolynn Gaither-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588021877 PECOS PAC ID: 9133423502 Enrollment ID: I20160204001148 |
| Provider Name | Kimberly G Releford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518286673 PECOS PAC ID: 5799082384 Enrollment ID: I20160325000515 |
| Provider Name | Cindy Petzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669785242 PECOS PAC ID: 6800103326 Enrollment ID: I20160519000627 |
| Provider Name | Stephanie M Decker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932530029 PECOS PAC ID: 6507158235 Enrollment ID: I20160715001700 |
| Provider Name | Rhonda Regina Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570874 PECOS PAC ID: 6305126301 Enrollment ID: I20161208002287 |
| Provider Name | Lauren M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922446210 PECOS PAC ID: 5698909570 Enrollment ID: I20170215001559 |
| Provider Name | Stacy Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457401374 PECOS PAC ID: 8022394634 Enrollment ID: I20170414000387 |
| Provider Name | Felecia Q Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041954 PECOS PAC ID: 3173800398 Enrollment ID: I20170425002853 |
| Provider Name | Charlotte Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946570 PECOS PAC ID: 9931471430 Enrollment ID: I20170817003296 |
| Provider Name | Cate Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457582967 PECOS PAC ID: 8224308507 Enrollment ID: I20170830000874 |
| Provider Name | Jamie Kyzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356625610 PECOS PAC ID: 0143593202 Enrollment ID: I20170912001601 |
| Provider Name | Catherine L Stone Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962892125 PECOS PAC ID: 7012277338 Enrollment ID: I20180207000254 |
| Provider Name | Carolyn M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427404029 PECOS PAC ID: 9133489222 Enrollment ID: I20180209002017 |
| Provider Name | Meredith Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777351 PECOS PAC ID: 0244490399 Enrollment ID: I20180806002531 |
| Provider Name | Carol Angela Niehaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770926677 PECOS PAC ID: 1557612991 Enrollment ID: I20180924001670 |
| Provider Name | Candace M Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255753422 PECOS PAC ID: 2264783497 Enrollment ID: I20180926002718 |
| Provider Name | Linda G Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215991567 PECOS PAC ID: 1759383458 Enrollment ID: I20181019002626 |
| Provider Name | Richard Susner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225425960 PECOS PAC ID: 9830407378 Enrollment ID: I20181030002518 |
| Provider Name | Paige Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497228910 PECOS PAC ID: 4880931385 Enrollment ID: I20190122002212 |
| Provider Name | Jennifer M Warawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063901775 PECOS PAC ID: 7618208117 Enrollment ID: I20191015001819 |
| Provider Name | Ann M Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689822835 PECOS PAC ID: 4486706272 Enrollment ID: I20200327001874 |
| Provider Name | Denise Schubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197018 PECOS PAC ID: 2163845793 Enrollment ID: I20200714003902 |
| Provider Name | Jennifer L Bramlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356861793 PECOS PAC ID: 6103240783 Enrollment ID: I20200716001471 |
| Provider Name | Dionne Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548884901 PECOS PAC ID: 0547680035 Enrollment ID: I20201022001761 |
| Provider Name | Dorothy L Hickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437288503 PECOS PAC ID: 4284054545 Enrollment ID: I20201026003251 |
| Provider Name | Maria Wibbels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114014636 PECOS PAC ID: 4981891124 Enrollment ID: I20201118003189 |
| Provider Name | Kimberly Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508316258 PECOS PAC ID: 1052724259 Enrollment ID: I20210107001635 |
| Provider Name | Lesley Schmaltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124188107 PECOS PAC ID: 3971919671 Enrollment ID: I20210303003377 |
| Provider Name | Nakita Meeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265981138 PECOS PAC ID: 2769898915 Enrollment ID: I20210312000900 |
| Provider Name | Norresha S Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568817047 PECOS PAC ID: 2961810668 Enrollment ID: I20210419001444 |
| Provider Name | Stephanie Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326563727 PECOS PAC ID: 3476952136 Enrollment ID: I20210528001573 |
| Provider Name | Beulah S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336615640 PECOS PAC ID: 1658770003 Enrollment ID: I20210604001203 |
| Provider Name | Carol A Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346287885 PECOS PAC ID: 0840699203 Enrollment ID: I20210604001579 |
| Provider Name | Heather Denise Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811562168 PECOS PAC ID: 8224439906 Enrollment ID: I20210701002382 |
| Provider Name | Joseph P Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417493354 PECOS PAC ID: 5092119347 Enrollment ID: I20210809001039 |
| Provider Name | Jessica Cowick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548932593 PECOS PAC ID: 2264830033 Enrollment ID: I20211007003584 |
| Provider Name | Kedra L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700473279 PECOS PAC ID: 5991197030 Enrollment ID: I20220121000866 |
| Provider Name | Erin M Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003462318 PECOS PAC ID: 7012301633 Enrollment ID: I20220224002594 |
| Provider Name | Erin M Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356093520 PECOS PAC ID: 0840686572 Enrollment ID: I20220406001631 |
| Provider Name | April Gambrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508596867 PECOS PAC ID: 8820478555 Enrollment ID: I20220712000516 |
| Provider Name | Emilee King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346794997 PECOS PAC ID: 2860817202 Enrollment ID: I20220713001246 |
| Provider Name | April Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720727423 PECOS PAC ID: 9638550940 Enrollment ID: I20220718003608 |
| Provider Name | Vanessa Lynn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861551400 PECOS PAC ID: 7012398332 Enrollment ID: I20220719000004 |
| Provider Name | Glennesha Mudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568901601 PECOS PAC ID: 2163803164 Enrollment ID: I20220722000565 |
| Provider Name | Courtney Za'nea Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235607185 PECOS PAC ID: 3577945013 Enrollment ID: I20220801001628 |
| Provider Name | Nicole A Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053544890 PECOS PAC ID: 2961549027 Enrollment ID: I20220823000203 |
| Provider Name | Brittany Hunsaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134404064 PECOS PAC ID: 2264652767 Enrollment ID: I20221003000179 |
| Provider Name | Erin Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144764200 PECOS PAC ID: 9335515105 Enrollment ID: I20221019001214 |
| Provider Name | Anna Shirley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922453489 PECOS PAC ID: 8325414121 Enrollment ID: I20221019002410 |
| Provider Name | Juan J Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497160774 PECOS PAC ID: 3678940608 Enrollment ID: I20221104000728 |
| Provider Name | Satang Ann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487380929 PECOS PAC ID: 8921475278 Enrollment ID: I20221122001810 |
| Provider Name | Maegan Mayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437783271 PECOS PAC ID: 5890165518 Enrollment ID: I20221221001095 |
| Provider Name | Diana Browning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366140899 PECOS PAC ID: 3870967441 Enrollment ID: I20230322000466 |
| Provider Name | Baillie Mccane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043911803 PECOS PAC ID: 1557729969 Enrollment ID: I20230616000930 |
| Provider Name | Victoria Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588122634 PECOS PAC ID: 2961800651 Enrollment ID: I20230823002955 |
| Provider Name | Tiffany Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013433119 PECOS PAC ID: 6002260072 Enrollment ID: I20230925001941 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467959775 PECOS PAC ID: 5991159980 Enrollment ID: I20230925002525 |
| Provider Name | Brittney Taylor Helms Mckendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174141840 PECOS PAC ID: 9133573678 Enrollment ID: I20231002002777 |
| Provider Name | Laura Knetsche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659890572 PECOS PAC ID: 0941621973 Enrollment ID: I20231006000850 |
| Provider Name | Brianna Bunch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992388516 PECOS PAC ID: 5597111278 Enrollment ID: I20231101001586 |
| Provider Name | Shavon Mabry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396221941 PECOS PAC ID: 5698122901 Enrollment ID: I20231108001728 |
| Provider Name | Stefanie Marie Sicre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205613890 PECOS PAC ID: 5698124097 Enrollment ID: I20231211002653 |
| Provider Name | Carla Bowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326358987 PECOS PAC ID: 2668823295 Enrollment ID: I20240109000748 |
| Provider Name | Krissie C Bentley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750431193 PECOS PAC ID: 7719338227 Enrollment ID: I20240109004105 |
| Provider Name | Judy Carol Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396430641 PECOS PAC ID: 3870944242 Enrollment ID: I20240110001817 |
| Provider Name | Karin Renee Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598281974 PECOS PAC ID: 4981055365 Enrollment ID: I20240110002154 |
| Provider Name | Leslie Faulkner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699441865 PECOS PAC ID: 0244681625 Enrollment ID: I20240110002168 |
| Provider Name | Illyssa Marie Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376877407 PECOS PAC ID: 8426409822 Enrollment ID: I20240110002901 |
| Provider Name | Ashley Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457854663 PECOS PAC ID: 0840641189 Enrollment ID: I20240110004731 |
| Provider Name | Jessica Coburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467872598 PECOS PAC ID: 6305297664 Enrollment ID: I20240111000233 |
| Provider Name | Sandra E Boone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942700190 PECOS PAC ID: 9234580440 Enrollment ID: I20240111002136 |
| Provider Name | Megan N Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508425174 PECOS PAC ID: 9638520851 Enrollment ID: I20240111002403 |
| Provider Name | Jennifer Megan Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962022178 PECOS PAC ID: 5991156150 Enrollment ID: I20240111004161 |
| Provider Name | Vanessa Garr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114383742 PECOS PAC ID: 9830540939 Enrollment ID: I20240112000928 |
| Provider Name | Adrine Demaude Hardy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861765802 PECOS PAC ID: 1658722756 Enrollment ID: I20240112000938 |
| Provider Name | Jamie Benjamin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538643317 PECOS PAC ID: 4183075286 Enrollment ID: I20240112001007 |
| Provider Name | Mary Courtney Ham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770359366 PECOS PAC ID: 2062863178 Enrollment ID: I20240112001142 |
| Provider Name | Adam Higgason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023202876 PECOS PAC ID: 6406207513 Enrollment ID: I20240112001221 |
| Provider Name | Tammy Mclain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700332061 PECOS PAC ID: 5991156044 Enrollment ID: I20240112002494 |
| Provider Name | Alexandria Marie Yuhas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588338628 PECOS PAC ID: 4880045954 Enrollment ID: I20240112003300 |
| Provider Name | Wendy Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275970550 PECOS PAC ID: 6305298415 Enrollment ID: I20240113000525 |
| Provider Name | Matthew Allen Grammer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356787808 PECOS PAC ID: 9133473838 Enrollment ID: I20240116000939 |
| Provider Name | Alexander Boyce Aronson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669948352 PECOS PAC ID: 2769834480 Enrollment ID: I20240118002091 |
| Provider Name | Nathan Laramore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891153300 PECOS PAC ID: 3476905191 Enrollment ID: I20240118002189 |
| Provider Name | Nathan Aaron Yaden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467759720 PECOS PAC ID: 6406208149 Enrollment ID: I20240118002768 |
| Provider Name | Ricky Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215471651 PECOS PAC ID: 2163874702 Enrollment ID: I20240118003004 |
| Provider Name | Yekaterina Meredith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396142238 PECOS PAC ID: 7911359559 Enrollment ID: I20240118003210 |
| Provider Name | Richard Alexander Mckinley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619303567 PECOS PAC ID: 5991124380 Enrollment ID: I20240118004202 |
| Provider Name | Beth Renee Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235823204 PECOS PAC ID: 8729430343 Enrollment ID: I20240119001091 |
| Provider Name | Courtney Brooke Hammond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841833902 PECOS PAC ID: 1456703073 Enrollment ID: I20240119001108 |
| Provider Name | Jacqueline Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295230654 PECOS PAC ID: 4183076706 Enrollment ID: I20240119001113 |
| Provider Name | Julie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790026862 PECOS PAC ID: 2668724204 Enrollment ID: I20240119002024 |
| Provider Name | Heidi Bellile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932760436 PECOS PAC ID: 8426400938 Enrollment ID: I20240120000186 |
| Provider Name | Amber Worman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740651413 PECOS PAC ID: 1052764263 Enrollment ID: I20240124001469 |
| Provider Name | Heather Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205322922 PECOS PAC ID: 9638522816 Enrollment ID: I20240124003963 |
| Provider Name | Christin Lenore Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093226060 PECOS PAC ID: 7618320797 Enrollment ID: I20240124004060 |
| Provider Name | Ashley Cramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366818726 PECOS PAC ID: 9436502390 Enrollment ID: I20240126001173 |
| Provider Name | Anna Witges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255727269 PECOS PAC ID: 0749633600 Enrollment ID: I20240126001339 |
| Provider Name | Ciara Merriweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487084406 PECOS PAC ID: 3971850041 Enrollment ID: I20240129000244 |
| Provider Name | Cheryl Kaye Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710423983 PECOS PAC ID: 8820357056 Enrollment ID: I20240129000354 |
| Provider Name | Michelle Sword |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295343622 PECOS PAC ID: 0244683886 Enrollment ID: I20240130002486 |
| Provider Name | Mallory Hamm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033656301 PECOS PAC ID: 8224481817 Enrollment ID: I20240131000430 |
| Provider Name | Marcie Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053819615 PECOS PAC ID: 4385097849 Enrollment ID: I20240131003055 |
| Provider Name | Alicia Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710211297 PECOS PAC ID: 7618310798 Enrollment ID: I20240206000594 |
| Provider Name | Jennifer Ross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871135202 PECOS PAC ID: 2769825694 Enrollment ID: I20240208000329 |
| Provider Name | Teresia Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588370605 PECOS PAC ID: 4880037464 Enrollment ID: I20240212000247 |
| Provider Name | Kelsey Rene' Reid Dowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306577630 PECOS PAC ID: 2567806847 Enrollment ID: I20240214002271 |
| Provider Name | Amy Elisabeth Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891067146 PECOS PAC ID: 3173967437 Enrollment ID: I20240215000655 |
| Provider Name | Kristi Robin Bohanon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598196123 PECOS PAC ID: 5890139166 Enrollment ID: I20240215000737 |
| Provider Name | Jenna Meeks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760983191 PECOS PAC ID: 5294179420 Enrollment ID: I20240215003226 |
| Provider Name | Alicia Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699186197 PECOS PAC ID: 0143665638 Enrollment ID: I20240223001853 |
| Provider Name | Marshall Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306304985 PECOS PAC ID: 2668817115 Enrollment ID: I20240223003697 |
| Provider Name | Lucinda Kiper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073243978 PECOS PAC ID: 1355787789 Enrollment ID: I20240307003909 |
| Provider Name | Kara Ross Hardesty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841733912 PECOS PAC ID: 2769893155 Enrollment ID: I20240320002391 |
| Provider Name | Cassidy Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568926095 PECOS PAC ID: 0345687505 Enrollment ID: I20240322003079 |
| Provider Name | Amanda Rae Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528798808 PECOS PAC ID: 8527405513 Enrollment ID: I20240326003555 |
| Provider Name | Tabitha Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457838302 PECOS PAC ID: 0749629558 Enrollment ID: I20240412001871 |
| Provider Name | Amanda L Blackburn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922328319 PECOS PAC ID: 5890135693 Enrollment ID: I20240426001675 |
| Provider Name | Carol Proctor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588181721 PECOS PAC ID: 4587004221 Enrollment ID: I20240429003145 |
| Provider Name | Keri Kitchen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326186156 PECOS PAC ID: 2365882917 Enrollment ID: I20240430000419 |
| Provider Name | Terry Randall Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871861997 PECOS PAC ID: 8224470430 Enrollment ID: I20240520002255 |
| Provider Name | Wilethia Durham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457482945 PECOS PAC ID: 3072955103 Enrollment ID: I20240521003341 |
| Provider Name | Ashlee Mayberry-marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588204408 PECOS PAC ID: 4082056593 Enrollment ID: I20240530000391 |
| Provider Name | Callie Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558127530 PECOS PAC ID: 2062954951 Enrollment ID: I20240606002871 |
| Provider Name | Matthew Frye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922590991 PECOS PAC ID: 6406291970 Enrollment ID: I20240606004214 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |