Audra Boggs, M.ED, LPCC
Individual provider Active NPI Professional Counselor · Whitesburg, KY
NPI 1255646758 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1255646758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 103089 (KY)
- Practice address
- 226 Medical Plaza LN
Whitesburg, KY 41858-7425 - Phone
- (606) 633-4871
- Fax
- (606) 633-0883
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Comprehensive Health Corporation
Practice addresses (Care Compare)
226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871
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 |
|---|---|---|---|---|
| I20240531002379 | KY | Practitioner - Mental Health Counselor | 0143662403 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103089 | KY | MD | Professional Counselor |
| KY-1684 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients |
Locations
226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871
Interoperability endpoints
- audra.boggs.p1@direct.mtncomp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | KY-1684 | KY | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 103089 | KY | Yes |
Addresses
Primary practice location
226 Medical Plaza LN
Whitesburg, KY 41858-7425
Mailing address
PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823
Other practice location 1
900 Beasley St
Suite 120
Lexington, KY 40509-4266
Phone (859) 254-1035
Other providers in Whitesburg, KY
- Kelley Bentley
- Lindsay Brooke Bentley
- Adam Bhatti
- Adnan Mustafa Bhopalwala
- Marlene A Bielecki
- Danny Andrew Branham
- Matthew Troy Breeding
- Van S Breeding
- Leah Bremiller
- Billy Ray Brock
All providers in Whitesburg, 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 Apr 14, 2021. 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.