Kristin Colleen Clouse, MA-LMHC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60340312 Issued in WA

Practice address

115 Houston Ave
Paris, KY 40361-1623

Phone

(360) 880-3501

NPI assigned

Jun 27, 2011

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1184910291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HOUSTON AVE",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611623",
            "telephone_number": "360-880-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HOUSTON AVE",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611623",
            "telephone_number": "360-880-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "KRISTIN",
        "middle_name": "COLLEEN",
        "credential": "MA-LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60340312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Burrier, LICENSED DIETITIAN
• Jessica N Carty, APRN
• Central Kentucky Head & Neck Surgical Associates, PSC
• Kelly Chrisman
• Melody Reynolds Clark
• Bonnie K Collins, RPH
• Pamela A Combs, MD
• Core Health Centers of Paris LLC
• Corporate Health & Wellness, Inc
• Catherine Cotter

• Mental Health Counselor in Paris, KY
• Providers in Paris, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.