Pamela Sue McPeak, LPCC
Individual provider Active NPI Professional Counselor · Edmonton, KY
NPI 1225801566 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1225801566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 288207 (KY)
- Practice address
- 109 Sartin Dr
Edmonton, KY 42129-8170 - Phone
- (270) 432-2444
- Fax
- (270) 432-2445
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cumberland Family Medical Center Inc
KW Consulting LLC
Practice addresses (Care Compare)
1515 Edmonton Rd
Tompkinsville, KY 42167-9402
Phone (270) 487-9272
5966 Scottsville Rd
Suite 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118002920 | KY | Practitioner - Mental Health Counselor | 3274985916 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| KW Consulting, LLC | Mental Health | Current |
Accepting new patients |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients |
Locations
5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
109 Sartin Dr
Edmonton, KY 42129
Phone (270) 432-2444
1515 Edmonton Rd
Tompkinsville, KY 42167
Phone (270) 487-9272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 288207 | KY | Yes |
Addresses
Primary practice location
109 Sartin Dr
Edmonton, KY 42129-8170
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106069900 | Other | KY | CAQH |
| 288207 | Medicaid | KY |
Other providers in Edmonton, KY
- KSL Events LLC
- David Wayne Lassiter
- Lynne Inc
- Ashley Roe Jessie Matney
- McMurtrey Chiropractic
- Metcalfe Co. Schools
- Metcalfe Family Physicians
- Metcalfe Health Services, Inc.
- Metcalfe Health Services, Inc.
- Metcalfe Opco LLC
All providers in Edmonton, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.