Individual provider Active NPI

Vanessa Garr, LPCC

  • Mental Health Counselor
  • Elizabethtown, KY
National Provider Identifier
1114383742
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCCCA00211354 Issued in KY
Practice address
1113 Northridge Dr Unit D
Elizabethtown, KY 42701-5160
Phone
(270) 390-1301
NPI assigned
Jan 12, 2016
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 LPCCCA00211354 KY Primary

Addresses

Primary practice location

1113 Northridge Dr Unit D
Elizabethtown, KY 42701-5160

Mailing address

1113 Northridge Dr Unit D
Elizabethtown, KY 42701-5160

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
I20240112000928 KY Practitioner - Mental Health Counselor 9830540939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Counties Services, IncGroup PAC ID 1759294424, 92 clinicians

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 589-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCCCA00211354KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Nov 28, 2023 Accepting new patients

Locations

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1114383742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 NORTHRIDGE DR UNIT D",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 NORTHRIDGE DR UNIT D",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015160",
            "telephone_number": "270-390-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARR",
        "first_name": "VANESSA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "LPCCCA00211354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.