Aimee Hockman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Alvaton, KY
NPI 1104237783 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104237783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 105301 (KY)
- Practice address
- 9940 Alvaton Road
Alvaton, KY 42122 - Phone
- (270) 746-6600
- Fax
- (270) 842-9008
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712002743 | KY | Practitioner - Marriage and Family Therapist | 6204371396 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105301 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Current |
Accepting new patients | |
| Kentucky Counseling Center, LLC | Current |
Accepting new patients |
Locations
8324 Eagle Way
Chicago, IL 60678
822 Woodway St
Bowling Green, KY 42101
380 Suwannee Trail St
Bowling Green, KY 42103
608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105301 | KY | Yes |
Addresses
Primary practice location
9940 Alvaton Road
Alvaton, KY 42122
Mailing address
9940 Alvaton Road
Alvaton, KY 42122
Phone (270) 746-6600
Other practice location 1
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100286760 | Medicaid | KY |
Other providers in Alvaton, KY
- Lindsey Ann Green
- Tonya L Gregory
- Karen Hammond
- Cassandra L Hanna
- Melissa Beth Haselhoff
- Rachel L. Holton
- Lori Ann Humbert
- Anthony N. Jackson
- Phillip A Kissinger
- Elizabeth Maynard
All providers in Alvaton, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.