Organization Active NPI

Aegis Mental Health

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1295400083
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AEGIS MENTAL HEALTH
Practice address
671 W Hwy 80
Ste 1
Somerset, KY 42503
Phone
(606) 425-4567
Fax
(606) 425-5134
NPI assigned
Aug 12, 2021
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Samantha Wilson, LPCCNPI 1588986178
Title
Partner
Phone
(859) 358-6568

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

671 W Hwy 80
Ste 1
Somerset, KY 42503

Mailing address

671 W Hwy 80
Ste 1
Somerset, KY 42503
Phone (606) 425-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207002097 KY Part B Supplier - Clinic/Group Practice 7618349366 Receives reassigned benefits from 2 practitioners
Practice locations: Somerset, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2311811Aegis Mental Health LLC671 W Hwy 80 Suite 1, Somerset, KY 42503Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

2430 Monticello Rd
Somerset, KY 42501
Phone (606) 425-4567

671 W Highway 80
Ste 1
Somerset, KY 42503
Phone (606) 425-4567

Practitioners & affiliated clinicians

Practitioners 4

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1295400083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 W HWY 80",
            "address_2": "STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-425-4567",
            "fax_number": "606-425-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 W HWY 80",
            "address_2": "STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-425-4567",
            "fax_number": "606-425-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "859-358-6568",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.