Sandra M Dennis, LPCC
Individual provider Active NPI Professional Counselor · Leitchfield, KY
NPI 1013328137 · NPPES record last updated May 12, 2014
Key facts
- NPI
- 1013328137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1686 (KY)
- Practice address
- 505 O Riley St
Leitchfield, KY 42754 - Phone
- (270) 535-6486
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Communicare Inc
Practice addresses (Care Compare)
805 Commerce Dr
Leitchfield, KY 42754-9188
Phone (270) 259-4652
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118003488 | KY | Practitioner - Mental Health Counselor | 7214389865 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1686 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicare Inc | Current |
Accepting new patients | |
| Communicare Inc | Current | Accepting new patients | |
| Communicare Inc | Current |
Accepting new patients |
Locations
1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419
107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650
805 Commerce Dr
Leitchfield, KY 42754
Phone (270) 259-4652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1686 | KY | Yes |
Addresses
Primary practice location
505 O Riley St
Leitchfield, KY 42754
Mailing address
505 O'Riley St
Leitchfield, KY 42754
Phone (270) 535-6486
Other providers in Leitchfield, KY
- Conoloway Anesthesia PLLC
- Craig a. Johnson, M.D., PSC
- Dinah M. Crain
- Jared Crocker
- Rachel Dennis
- Cathryn Taylor Dowell
- Bridgett Downey
- Kathryn Paige Dubree
- Madaline Rose Duggins
- Dana Raquel Earley
All providers in Leitchfield, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.