Individual provider Active NPI

Christie Lynn Turner, CADC,LPCC

  • Professional Counselor
  • Jackson, KY
National Provider Identifier
1063450468
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104061 Issued in KY
Practice address
3830 Highway 15 S
Jackson, KY 41339-8675
Phone
(606) 666-7591
Fax
(606) 666-8364
NPI assigned
Jun 4, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104061 KY Primary

Addresses

Primary practice location

3830 Highway 15 S
Jackson, KY 41339-8675

Mailing address

115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761

Other identifiers 1

IdentifierTypeStateIssuer
7100286110MedicaidKY

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
I20240117001154 KY Practitioner - Mental Health Counselor 1052469855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104061KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky River Community Care, Inc Professional CurrentSince Jan 3, 2024 Accepting new patients
Grin Grant Inc Past Accepting new patients

Locations

115 Rockwood Ln
Hazard, KY 41701
Phone (800) 575-7223

3830 Highway 15 S
Jackson, KY 41339
Phone (606) 666-7591

Organizations & group practices 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1063450468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROCKWOOD LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019415",
            "telephone_number": "606-436-5761",
            "fax_number": "606-436-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 HIGHWAY 15 S",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398675",
            "telephone_number": "606-666-7591",
            "fax_number": "606-666-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "credential": "CADC,LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100286110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.