Protea Behavioral Health Counseling, Pllc - Medicare Mental Health Clinic in Somerset, KY

Protea Behavioral Health Counseling, Pllc is a medicare enrolled mental health clinic (Counselor - Professional) in Somerset, Kentucky. The current practice location for Protea Behavioral Health Counseling, Pllc is 80 Highway 2227, Somerset, Kentucky. For appointments, you can reach them via phone at (937) 475-2702. The mailing address for Protea Behavioral Health Counseling, Pllc is 80 Highway 2227, Somerset, Kentucky and phone number is (937) 475-2702.

Protea Behavioral Health Counseling, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205429800. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (937) 475-2702.

Contact Information

Protea Behavioral Health Counseling, Pllc
80 Highway 2227
Somerset
KY 42503
(937) 475-2702
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameProtea Behavioral Health Counseling, Pllc
SpecialityCounselor
Location80 Highway 2227, Somerset, Kentucky
Authorized Official Name and PositionKristen Fields (OWNER)
Authorized Official Contact6064854003
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Protea Behavioral Health Counseling, Pllc
80 Highway 2227
Somerset
KY 42503

Ph: (937) 475-2702
Protea Behavioral Health Counseling, Pllc
80 Highway 2227
Somerset
KY 42503

Ph: (937) 475-2702

NPI Details:

NPI Number1205429800
Provider Enumeration Date02/15/2021
Last Update Date06/10/2024
Certification Date06/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9436510500
Medicare Enrollment IDO20230804003512

Medical Identifiers

Medical identifiers for Protea Behavioral Health Counseling, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205429800NPI-NPPES
7100723630MedicaidKY
7100825800MedicaidKY
0490416MedicaidOH
7100781560MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Protea Behavioral Health Counseling, Pllc acts as a billing entity for following providers:
Provider NameMelissa Dye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609445626
PECOS PAC ID: 7517328685
Enrollment ID: I20230824002083
Provider NameMonica Joy Bolton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902431133
PECOS PAC ID: 6204270580
Enrollment ID: I20240214002236
Provider NameTheresa Lynn Rust
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093197089
PECOS PAC ID: 9335500404
Enrollment ID: I20240311003468

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.