Active NPI
John Kieth Biedermann, LPCC
- Mental Health Counselor
- Elizabethtoown, KY
National Provider Identifier
1104056308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1117
- Practice address
- 2608 Ring Rd. Ste. 102
Elizabethtoown, KY 42701 - Phone
- (270) 763-9577
- Fax
- (270) 763-6938
- NPI assigned
- Jul 22, 2009
- Last updated
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1117 | KY | Primary |
Addresses
Primary practice location
2608 Ring Rd. Ste. 102
Elizabethtoown, KY 42701
Mailing address
2608 Ring Rd. Ste. 102
Elizabethtoown, KY 42701
Phone (270) 763-9577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1117 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeful Solutions Counseling PLLC | Mental Health | Past | Accepting new patients |
| Jon Urey PHD PLLC | Past | Accepting new patients | |
| Jon R Urey PHD PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Elizabethtown, KY
- NPI 1538603550
-
- Clinical Psychologist
- Elizabethtown, KY
- NPI 1811908262
-
- Clinical Psychologist
- Elizabethtown, KY
- NPI 1629232483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1104056308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 RING RD. STE. 102",
"city": "ELIZABETHTOOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-763-9577",
"fax_number": "270-763-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 RING RD. STE. 102",
"city": "ELIZABETHTOOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-763-9577",
"fax_number": "270-763-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDERMANN",
"first_name": "JOHN",
"middle_name": "KIETH",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "1117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.