Cheryl A Headen, LPCC
Individual provider Active NPI Mental Health Counselor · Prestonsburg, KY
NPI 1013355833 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1013355833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 163559
- Practice address
- 104 S Front Ave
Prestonsburg, KY 41653-1614 - Phone
- (606) 886-8572
- Fax
- (606) 886-4433
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Care Affiliates, Inc
Practice addresses (Care Compare)
107 E Main St
Earlington, KY 42410-1333
Phone (270) 905-4084
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 |
|---|---|---|---|---|
| I20240112003846 | KY | Practitioner - Mental Health Counselor | 5294186383 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Care Center, Inc. | Mental Health | Current |
Accepting new patients |
| Mountain Comprehensive Care Center, Inc. | Current |
Accepting new patients | |
| Regional Health Care Affiliates, Inc. | Current | Accepting new patients | |
| Regional Health Care Affiliates Inc | Current |
Accepting new patients | |
| Regional Health Care Affiliates Inc | Current |
Accepting new patients |
Locations
838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345
104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857
215 E Main St
#215
Providence, KY 42450
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDEJAA/Endpoint/BDEJAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 163559 | Yes |
Addresses
Primary practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
NPI Registry JSON
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1013355833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S FRONT AVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531614",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S FRONT AVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531614",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADEN",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "163559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prestonsburg, KY
- Robert B Hays
- Ciaran Hayslip
- Kaylee Hazelbaker
- Dorothy Hazelette
- Jerry Hazlett
- Shalynn Healey
- Healthy Heart Sleep Program
- Healthy Smiles Family & Cosmetic Dentistry PSC
- Shawn Heaster
- Rhonda Heath
All providers in Prestonsburg, KY · Mental Health 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 Mar 4, 2024. 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.