Individual provider Active NPI

Justin Scott Ross, LPCC

  • Mental Health Counselor
  • Ashland, KY
National Provider Identifier
1164608311
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
KY-0864 Issued in KY
Practice address
340 17TH St
Suite # 2
Ashland, KY 41101-7628
Phone
(606) 420-4070
Fax
(606) 420-4071
NPI assigned
Jan 18, 2008
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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 KY-0864 KY Primary

Addresses

Primary practice location

340 17TH St
Suite # 2
Ashland, KY 41101-7628

Mailing address

340 17TH St
Suite # 2
Ashland, KY 41101-7628
Phone (606) 420-4070

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
KY-0864KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Center LLC Past Accepting new patients

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1164608311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 17TH ST",
            "address_2": "SUITE # 2",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017628",
            "telephone_number": "606-420-4070",
            "fax_number": "606-420-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 17TH ST",
            "address_2": "SUITE # 2",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017628",
            "telephone_number": "606-420-4070",
            "fax_number": "606-420-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JUSTIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-0864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.