Organization Active NPI

Open Doors Counseling Center, LLC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1265072219
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN DOORS COUNSELING CENTER, LLC
Practice address
503 Darby Creek Rd Ste C
Lexington, KY 40509-1603
Phone
(606) 776-6185
NPI assigned
Jan 7, 2020
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Derek Picklesimer, MBANPI 1205723582
Title
Credentialing/ Billing Manager
Phone
(859) 300-1437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

503 Darby Creek Rd Ste C
Lexington, KY 40509-1603

Mailing address

210 E High St Unit 394
Lexington, KY 40588-0849
Phone (606) 776-6185

Other practice location 1

2288 Market Garden Ln
Lexington, KY 40509-8525
Phone (606) 776-6185

Other practice location 2

134 N Front Ave
Prestonsburg, KY 41653-7832
Phone (606) 776-6185

Other practice location 3

501 Darby Creek Rd Ste 39A
Lexington, KY 40509-1671
Phone (606) 776-6185

Other practice location 4

771 Chloe Rd
Pikeville, KY 41501-1397
Phone (606) 776-6185

Other identifiers 1

IdentifierTypeStateIssuer
7100688790MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129002678 KY Part B Supplier - Clinic/Group Practice 6103279930 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

210 E High St
Unit 394
Lexington, KY 40588

501 Darby Creek Rd
Ste 39A
Lexington, KY 40509
Phone (606) 776-6185

480 Lexington Rd
Ste 12
Versailles, KY 40383

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1265072219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E HIGH ST UNIT 394",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405880849",
            "telephone_number": "606-776-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DARBY CREEK RD STE C",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091603",
            "telephone_number": "606-776-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Market Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405098525",
            "country_code": "US",
            "telephone_number": "606-776-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 N Front Ave",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416537832",
            "country_code": "US",
            "telephone_number": "606-776-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Darby Creek Rd Ste 39A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091671",
            "country_code": "US",
            "telephone_number": "606-776-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 Chloe Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011397",
            "country_code": "US",
            "telephone_number": "606-776-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN DOORS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "PICKLESIMER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CREDENTIALING/ BILLING MANAGER",
        "authorized_official_telephone_number": "859-300-1437",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100688790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.