Individual provider Active NPI

Angela Logston-Flannery, LPCC

  • Mental Health Counselor
  • Corbin, KY
National Provider Identifier
1023505138
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
281722 Issued in KY
Practice address
523 Oak Ridge Church Rd
Corbin, KY 40701
Phone
(606) 215-3008
NPI assigned
Apr 16, 2018
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 281722 KY
Mental Health Counselor 101YM0800X 281722 KY Primary
Professional Counselor 101YP2500X 281722 KY
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

523 Oak Ridge Church Rd
Corbin, KY 40701

Mailing address

610 Smith LN
London, KY 40741-2822
Phone (606) 215-3008

Other practice location 1

225 E Peachtree St Ste 2
Corbin, KY 40701-2596
Phone (606) 261-2060

Other identifiers 1

IdentifierTypeStateIssuer
7100877520MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000056 KY Practitioner - Mental Health Counselor 8820539802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281722KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soulistic Counseling LLC Mental Health CurrentSince Nov 1, 2022 Accepting new patients
Isaiah House, Inc. CurrentSince Jul 30, 2024 Accepting new patients
Right Way Recovery LLC Addiction (Substance Use Disorder) CurrentSince Aug 10, 2025 Accepting new patients
Isaiah House, Inc Past Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

225 E Peachtree St
Corbin, KY 40701

225 E Peachtree St
Ste 2
Corbin, KY 40701
Phone (606) 261-2060

523 Oak Ridge Church Rd
Corbin, KY 40701
Phone (606) 215-3008

2042 Main St
Willisburg, KY 40078

2084 Main St
Willisburg, KY 40078
Phone 8593759200 ext. 232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1023505138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SMITH LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412822",
            "telephone_number": "606-215-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 OAK RIDGE CHURCH RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-215-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Peachtree St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012596",
            "country_code": "US",
            "telephone_number": "606-261-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGSTON-FLANNERY",
        "first_name": "ANGELA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "281722",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "281722",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "281722",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100877520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.