Individual provider Active NPI

Krystal Pfeiffer

  • Mental Health Counselor
  • Somerset, KY
National Provider Identifier
1104567742
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
300198 Issued in KY
Practice address
307 Shannon LN
Somerset, KY 42503-4994
Phone
(606) 514-5486
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 300198 KY Primary

Addresses

Primary practice location

307 Shannon LN
Somerset, KY 42503-4994

Mailing address

307 Shannon LN
Somerset, KY 42503-4994
Phone (606) 514-5486

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
I20250925003936 KY Practitioner - Mental Health Counselor 7618472085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Suite 628
Nancy, KY 42544

PO Box
Suite 628
Nancy, KY 42544-0628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 13, 2026 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 28, 2026 Accepting new patients
Gratitude Adjustment Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Gratitude Adjustment CurrentSince Sep 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

9245 W Highway 80
Nancy, KY 42544
Phone (606) 288-0013

10315 W Highway 80
Nancy, KY 42544
Phone (606) 288-0013

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104567742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SHANNON LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034994",
            "telephone_number": "606-514-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SHANNON LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034994",
            "telephone_number": "606-514-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "300198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.