Active NPI
CC Behavioral Health
- Mental Health Counselor
- Corbin, KY
National Provider Identifier
1265239602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CC BEHAVIORAL HEALTH
- Practice address
- 244 Holly Grove Rd
Corbin, KY 40701-4427 - Phone
- (606) 620-4404
- Fax
- (606) 620-4410
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cymbre Lin Patrick, LCSW
- Title
- Owner
- Phone
- (606) 620-4404
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
244 Holly Grove Rd
Corbin, KY 40701-4427
Mailing address
244 Holly Grove Rd
Corbin, KY 40701-4427
Phone (606) 620-4404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Corbin, KY
- NPI 1003228222
-
- Professional Counselor
- Corbin, KY
- NPI 1730590449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1265239602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 HOLLY GROVE RD",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014427",
"telephone_number": "606-620-4404",
"fax_number": "606-620-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 HOLLY GROVE RD",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014427",
"telephone_number": "606-620-4404",
"fax_number": "606-620-4410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-03-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "PATRICK",
"authorized_official_first_name": "CYMBRE",
"authorized_official_middle_name": "LIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-620-4404",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.