Individual provider Active NPI

Wendell Hamilton Jr., LPCC-S

  • Professional Counselor
  • Paintsville, KY
National Provider Identifier
1144412974
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
103492 Issued in KY
Practice address
485 Ponderosa Dr
Paintsville, KY 41240-8558
Phone
(606) 877-3135
Fax
(606) 789-4833
NPI assigned
Aug 15, 2007
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 103492 KY Primary

Addresses

Primary practice location

485 Ponderosa Dr
Paintsville, KY 41240-8558

Mailing address

485 Ponderosa Dr
Paintsville, KY 41240-8558
Phone (068) 876-3135

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103492KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Appalachian Project Inc Professional CurrentSince Jul 5, 2026 Accepting new patients

Locations

485 Ponderosa Dr
Paintsville, KY 41240
Phone (606) 789-9791

Organizations & group practices 1

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1144412974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 PONDEROSA DR",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408558",
            "telephone_number": "068-876-3135",
            "fax_number": "067-894-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 PONDEROSA DR",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408558",
            "telephone_number": "606-877-3135",
            "fax_number": "606-789-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "WENDELL",
        "name_suffix": "Jr.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.