Individual provider Active NPI

Lucy Namulemo, PHD, LPCC

  • Mental Health Counselor
  • Monticello, KY
National Provider Identifier
1043082175
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
287935 Issued in KY
Practice address
80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone
(606) 343-0216
Fax
(606) 343-0224
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 287935 KY Primary

Addresses

Primary practice location

80 Rolling Hills Blvd
Monticello, KY 42633-9005

Mailing address

80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone (606) 343-0216

Other practice location 1

132 Foothills Ave
Albany, KY 42602-1090
Phone (606) 387-0567

Other identifiers 1

IdentifierTypeStateIssuer
7100936600MedicaidKY

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
I20240126002103 KY Practitioner - Mental Health Counselor 9133572019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
287935KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Academy, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

132 Foothills Ave
Albany, KY 42602
Phone (606) 387-0567

80 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 343-0216

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1043082175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Foothills Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "KY",
            "postal_code": "426021090",
            "country_code": "US",
            "telephone_number": "606-387-0567",
            "fax_number": "606-387-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMULEMO",
        "first_name": "LUCY",
        "credential": "PHD, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "287935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100936600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.