Sharon Alexander, LPCC

Individual provider Active NPI Professional Counselor · Prestonsburg, KY

NPI 1225550445 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1225550445
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
103876 (KY)
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
Fax
(606) 886-4433
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Ky Regional MHMR Board Inc (31 clinicians)

Practice addresses (Care Compare)

1525 Cuba Rd
Mayfield, KY 42066-6809
Phone (270) 247-2588

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240125001846 KY Practitioner - Mental Health Counselor 9133572290 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
103876KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Ky Regional MHMR Board Inc Current
since Jan 1, 2024
Accepting new patients

Locations

1525 Cuba Rd
Mayfield, KY 42066
Phone (270) 247-2588

425 Broadway St
Paducah, KY 42001
Phone (270) 442-1452

425 Broadway St
#201
Paducah, KY 42001
Phone (270) 442-1452

425 Broadway St
Ste 102
Paducah, KY 42001
Phone (270) 442-1452

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 103876 KY Yes

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other providers in Prestonsburg, KY

All providers in Prestonsburg, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.