Organization Active NPI

Winds of Change LLC

  • Mental Health Counselor
  • Corbin, KY
National Provider Identifier
1013649250
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINDS OF CHANGE LLC
Practice address
1220 Master St Ste 6
Corbin, KY 40701-2517
Phone
(606) 404-5104
Fax
(606) 404-5105
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Hope Huddleston
Title
Member
Phone
(606) 404-5105

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

1220 Master St Ste 6
Corbin, KY 40701-2517

Mailing address

1220 Master St Ste 6
Corbin, KY 40701-2517
Phone (606) 404-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523002366 KY Part B Supplier - Clinic/Group Practice 5991224768 Receives reassigned benefits from 1 practitioner
Practice locations: Corbin, KY

National Provider Directory

National Provider Directory

Locations

1220 Master St
Corbin, KY 40701

37 Southpark Center Dr
Ste 5
Corbin, KY 40701

1220 Master St
Ste 6
Corbin, KY 40701
Phone (606) 404-5104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1013649250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MASTER ST STE 6",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012517",
            "telephone_number": "606-404-5104",
            "fax_number": "606-404-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MASTER ST STE 6",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012517",
            "telephone_number": "606-404-5104",
            "fax_number": "606-404-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-404-5105"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.