Individual provider Active NPI

Angel Renee Birch, LPCC

  • Professional Counselor
  • Booneville, KY
National Provider Identifier
1124826003
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
297557 Issued in KY
Practice address
200 Mulberry St Ste a
Booneville, KY 41314-7505
Phone
(606) 593-6023
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Clinic of Booneville, Inc. 15 clinicians

Practice addresses (Care Compare)

200 Mulberry St
Suite a
Booneville, KY 41314-7505
Phone (606) 593-6023

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250611002287 KY Practitioner - Mental Health Counselor 2466962162 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297557KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Apr 3, 2025 Accepting new patients
Family Health Care Clinic PSC CurrentSince Apr 3, 2025 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Lancaster Family Health Care CurrentSince Apr 3, 2025 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 297557 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Mulberry St Ste a
Booneville, KY 41314-7505

Mailing address

200 Mulberry St Ste a
Booneville, KY 41314-7505
Phone (606) 593-6023

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1124826003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MULBERRY ST STE A",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413147505",
            "telephone_number": "606-593-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MULBERRY ST STE A",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413147505",
            "telephone_number": "606-593-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "ANGEL",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "297557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, KY

Sources for this page

Verify at the official NPI Registry.