Individual provider Active NPI

Natasha Painter, LPCC

  • Professional Counselor
  • Georgetown, KY
National Provider Identifier
1174975957
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
245533 Issued in KY
Practice address
110 Roach St
Georgetown, KY 40324-9393
Phone
(606) 671-7452
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 245533 KY Primary
Professional Counselor 101YP2500X 167226 KY

Addresses

Primary practice location

110 Roach St
Georgetown, KY 40324-9393

Mailing address

110 Roach St
Georgetown, KY 40324-9393
Phone (606) 671-7452

Other identifiers 1

IdentifierTypeStateIssuer
1174975957MedicaidKY

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
I20240111002566 KY Practitioner - Mental Health Counselor 0143671362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vista of the Bluegrass IncGroup PAC ID 6608773619, 55 clinicians

Practice addresses (Care Compare)

4223 Lexington Rd
Suite D
Paris, KY 40361-2514
Phone (859) 987-6127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167226KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vista of the Bluegrass Inc CurrentSince Jan 1, 2024 Accepting new patients
New Vista of the Bluegrass Inc Current Accepting new patients
New Vista of the Bluegrass Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

110 Roach St
Georgetown, KY 40324
Phone (502) 863-4734

1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686

4223 Lexington Rd
Paris, KY 40361

4223 Lexington Rd
Ste D
Paris, KY 40361
Phone (859) 987-6127

Organizations & group practices 3

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1174975957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROACH ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249393",
            "telephone_number": "606-671-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROACH ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249393",
            "telephone_number": "606-671-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "NATASHA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "245533",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "167226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174975957",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.