Individual provider Active NPI

Megan Renae Cinnamon, LPCC

  • Mental Health Counselor
  • Somerset, KY
National Provider Identifier
1033577309
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
245273 Issued in KY
Practice address
600 Clifty St Ste 2
Somerset, KY 42503
Phone
(606) 678-0026
Fax
(606) 678-0047
NPI assigned
Feb 2, 2016
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCCCA00224172 KY
Mental Health Counselor 101YM0800X 245273 KY Primary

Addresses

Primary practice location

600 Clifty St Ste 2
Somerset, KY 42503

Mailing address

600 Clifty St Ste 2
Somerset, KY 42503-1710
Phone (606) 678-0026

Other identifiers 1

IdentifierTypeStateIssuer
7100571920MedicaidKY

Other names 1

  • Megan Renae Brock Former name

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
I20250205003093 KY Practitioner - Mental Health Counselor 0143750117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Richie LN
Suite C
Somerset, KY 42503-6128
Phone (606) 425-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245273KYMDMental Health Counselor
LPCCCA00224172KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All in Counseling Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Locations

110 Richie Ln
Ste C
Somerset, KY 42503
Phone (606) 425-9112

402 Coomer St
Ste 201
Somerset, KY 42503
Phone (606) 219-3125

Organizations & group practices 1

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1033577309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031710",
            "telephone_number": "606-678-0026",
            "fax_number": "606-678-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-678-0026",
            "fax_number": "606-678-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINNAMON",
        "first_name": "MEGAN",
        "middle_name": "RENAE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "LPCCCA00224172",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "245273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100571920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BROCK",
            "middle_name": "RENAE",
            "credential": "MEGAN R. SIMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.