John Kieth Biedermann, LPCC
Individual provider Active NPI Mental Health Counselor · Elizabethtoown, KY
NPI 1104056308 · NPPES record last updated Jul 22, 2009
Key facts
- NPI
- 1104056308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1117 (KY)
- Practice address
- 2608 Ring Rd. Ste. 102
Elizabethtoown, KY 42701 - Phone
- (270) 763-9577
- Fax
- (270) 763-6938
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 R Urey PHD PLLC | Past | Accepting new patients | |
| Jon Urey PHD PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1117 | KY | Yes |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.