Kathryn Blair Plymale, PHD, LPCC-S, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

104990 Issued in KY

Practice address

256 Main St
Florence, KY 41042-2078

Phone

(502) 222-2389

Fax

(502) 222-2927

NPI assigned

Feb 12, 2013

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kathryn Hayden Blair Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prodigal Ministries, LLC

  dba Prodigal Counseling Services

  • Mental Health Counselor
  • Buckner, KY
  • NPI 1013662717
  Medicare reassignment NPD
• Kathryn Blair Plymale LLC

  • Mental Health Counselor
  • Florence, KY
  • NPI 1306522446
  NPD
• Prodigal Ministries, LLC

  dba Prodigal Counseling Services

  • Professional Counselor
  • Florence, KY
  • NPI 1376313973
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1285973164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 OLD LAGRANGE RD",
            "city": "BUCKNER",
            "state": "KY",
            "postal_code": "400109547",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MAIN ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422078",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Licking Pike",
            "address_purpose": "LOCATION",
            "city": "Wilder",
            "state": "KY",
            "postal_code": "41071",
            "country_code": "US",
            "telephone_number": "606-669-1031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 Old LaGrange Rd",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "KY",
            "postal_code": "400109547",
            "country_code": "US",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLYMALE",
        "first_name": "KATHRYN",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "PHD, LPCC-S, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "104990",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100903970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BLAIR",
            "middle_name": "HAYDEN",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Florence, KY
• Providers in Florence, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.