Individual provider Active NPI

Linda Evelyn Fentress, M.ED., LPCC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1134512775
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
168174 Issued in KY
Practice address
651 Perimeter Dr Ste 115
Lexington, KY 40517-4351
Phone
(859) 721-3259
Fax
(859) 305-5083
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013014933 MO
Professional Counselor 101YP2500X 168174 KY Primary

Addresses

Primary practice location

651 Perimeter Dr Ste 115
Lexington, KY 40517-4351

Mailing address

651 Perimeter Dr Ste 115
Lexington, KY 40517-4351
Phone (573) 355-0301

Other identifiers 1

IdentifierTypeStateIssuer
7100409410MedicaidKY

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
I20240217000543 KY Practitioner - Mental Health Counselor 4688001837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

651 Perimeter Dr
Suite 115
Lexington, KY 40517-4351
Phone (573) 355-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
168174KYMDProfessional Counselor
2013014933MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Christian Counseling, LLC Professional CurrentSince Dec 19, 2023 Accepting new patients
Isaiah House, Inc. CurrentSince Jul 17, 2025 Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

698 Perimeter Dr
Ste 101
Lexington, KY 40517
Phone (859) 407-7537

651 Perimeter Dr
Ste 115
Lexington, KY 40517
Phone (573) 355-0301

2084 Main St
Willisburg, KY 40078

2042 Main St
Willisburg, KY 40078

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1134512775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 PERIMETER DR STE 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174351",
            "telephone_number": "573-355-0301",
            "fax_number": "859-305-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 PERIMETER DR STE 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174351",
            "telephone_number": "859-721-3259",
            "fax_number": "859-305-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTRESS",
        "first_name": "LINDA",
        "middle_name": "EVELYN",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013014933",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "168174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100409410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.