Amy J Roy, LPCA

Individual provider Active NPI Mental Health Counselor · Jamestown, KY

NPI 1114366648 · NPPES record last updated Apr 16, 2014

Key facts

NPI
1114366648
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
119 Herriford Curve Road
Jamestown, KY 42629
Phone
(270) 343-2551
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

119 Herriford Curve Road
Jamestown, KY 42629

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223

Other providers in Jamestown, KY

All providers in Jamestown, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.