Active NPI
Courtney Fancher, LPCC
- Mental Health Counselor
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 174916
- Practice address
- 7459 Burlington Pike
Florence, KY 41042-1553 - Phone
- (859) 331-3292
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 174916 | KY | |
| Mental Health Counselor | 101YM0800X | 174916 | KY | Primary |
Addresses
Primary practice location
7459 Burlington Pike
Florence, KY 41042-1553
Mailing address
502 Farrell Dr
Covington, KY 41011-3717
Phone (859) 578-3204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7459 Burlington Pike
Florence, KY 41042-1553
Phone (859) 578-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174916 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current | Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current | Accepting new patients |
Locations
2688 US Highway 227
Carrollton, KY 41008
503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214
513 Madison Ave
Covington, KY 41011
Phone (859) 291-1121
513 Madison Ave
Fl 1
Covington, KY 41011
502 Farrell Dr
Covington, KY 41011
Phone (859) 578-3204
7459 Burlington Pike
Florence, KY 41042
Phone (859) 282-6585
12 E 5th St
Newport, KY 41071
Phone (859) 491-6510
308 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-4442
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
-
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1215323720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 FARRELL DR",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113717",
"telephone_number": "859-578-3204",
"fax_number": "859-578-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7459 BURLINGTON PIKE",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421553",
"telephone_number": "859-331-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANCHER",
"first_name": "COURTNEY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "174916",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "174916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.