Wellness Counseling Center

Key facts

NPI

1043780729

Entity type

Organization (NPI type 2)

Primary specialty

Professional Counselor 101YP2500X

Legal business name

WELLNESS COUNSELING CENTER

Practice address

111 S Morgan St
Morganfield, KY 42437-1552

Phone

(270) 285-9023

Fax

(270) 285-9037

NPI assigned

Nov 26, 2018

Organization subpart

No

Authorized official

Name

Farrah Burgess NPI 1942549910

Title

Owner/Therapist

Phone

(270) 285-9023

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

• Farrah N Burgess, LPCC Mental Health Counselor · Morganfield, KY · NPI 1942549910
  Medicare reassignment NPD Authorized official KY · MENTAL HEALTH
• Michaela Dehaven Clinical Social Worker · Morganfield, KY · NPI 1912544073
  NPD CLINICAL
• Malorey Gray, LPCA Mental Health Counselor · Morganfield, KY · NPI 1629846944
  NPD MENTAL HEALTH
• Katelyn McCord, CSW Clinical Social Worker · Morganfield, KY · NPI 1922989334
  NPD CLINICAL
• Jamie Risch Mental Health Counselor · Dixon, KY · NPI 1922753649
  NPD MENTAL HEALTH
• Ashley Marie Sesco, CSW Clinical Social Worker · Morganfield, KY · NPI 1144975277
  NPD CLINICAL
• Ashley P Wells Mental Health Counselor · Morganfield, KY · NPI 1144192675
  NPD MENTAL HEALTH
• Stacey Rae Williams, LPCA Mental Health Counselor · Morganfield, KY · NPI 1992501670
  NPD MENTAL HEALTH
• Wendy Elizabeth Wilson, LPCC Professional Counselor · Morganfield, KY · NPI 1275970550
  NPD PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Wellness Counseling Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2023.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1043780729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 2nd St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203172",
            "country_code": "US",
            "telephone_number": "270-285-9023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 2nd St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203176",
            "country_code": "US",
            "telephone_number": "270-957-5037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "270-285-9023"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100539520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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