Benjamin W Arnold

Individual provider Active NPI Professional Counselor · Nicholasville, KY

NPI 1306026927 · NPPES record last updated Oct 12, 2015

Key facts

NPI
1306026927
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0611 (KY)
Practice address
105 Wind Haven Dr
Suite 1
Nicholasville, KY 40356-8005
Phone
(859) 224-2273
Fax
(859) 224-4675
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0611KYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0611 KY Yes

Addresses

Primary practice location

105 Wind Haven Dr
Suite 1
Nicholasville, KY 40356-8005

Mailing address

105 Wind Haven Dr
Suite 1
Nicholasville, KY 40356-8005
Phone (859) 224-2273

Other identifiers

IdentifierTypeStateIssuer
30615058MedicaidKY

Other providers in Nicholasville, KY

All providers in Nicholasville, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.