Active NPI
Tim Carman, LPCC
- Professional Counselor
- Danville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 244480
- Practice address
- 975 Hustonville Rd Ste 7
Danville, KY 40422-2165 - Phone
- (859) 239-9598
- NPI assigned
- Apr 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00218271 | KY | |
| Professional Counselor | 101YP2500X | 244480 | KY | Primary |
Addresses
Primary practice location
975 Hustonville Rd Ste 7
Danville, KY 40422-2165
Mailing address
PO Box 188
Willisburg, KY 40078-0188
Phone (859) 375-9200
Other practice location 1
259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone (606) 679-7348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725000917 | KY | Practitioner - Mental Health Counselor | 9335685429 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00218271 | KY | MD | Mental Health Counselor |
| 244480 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Together Counseling Center | Professional | Current | Accepting new patients |
| All Together Recovery | Current | Accepting new patients | |
| Isaiah House, Inc. | Current | Accepting new patients |
Locations
100 Broadway
Ste 101
Chaplin, KY 40012
975 Hustonville Rd
Ste 1
Danville, KY 40422
Phone (859) 236-2214
975 Hustonville Rd
Ste 7
Danville, KY 40422
Phone (859) 239-9598
117 Letton Dr
Danville, KY 40422
Phone (859) 238-0089
2084 Main St
Willisburg, KY 40078
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Danville, KY
- NPI 1568269769
KY, Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1275929614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "WILLISBURG",
"state": "KY",
"postal_code": "400780188",
"telephone_number": "859-375-9200",
"fax_number": "859-375-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 HUSTONVILLE RD STE 7",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222165",
"telephone_number": "859-239-9598"
}
],
"practiceLocations": [
{
"address_1": "259 Parkers Mill Rd",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425013152",
"country_code": "US",
"telephone_number": "606-679-7348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMAN",
"first_name": "TIM",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "00218271",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "244480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.