Individual provider Active NPI

Kimber Lauren Cinnamon, LPCC

  • Professional Counselor
  • Corbin, KY
National Provider Identifier
1326404765
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
269513 Issued in KY
Practice address
1840 Cumberland Falls Hwy
Corbin, KY 40701-2729
Phone
(606) 526-4428
Fax
(606) 526-8255
NPI assigned
Jan 14, 2016
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 269513 KY Primary

Addresses

Primary practice location

1840 Cumberland Falls Hwy
Corbin, KY 40701-2729

Mailing address

1840 Cumberland Falls Hwy
Corbin, KY 40701-2729
Phone (606) 526-4428

Other practice location 1

9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone (502) 749-6249

Other practice location 2

1203 American Greeting Card Rd
Corbin, KY 40701-4811
Phone (606) 528-7010

Other practice location 3

2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone (606) 802-7782

Other practice location 4

340 Legion Dr Ste 28
Lexington, KY 40504-2716
Phone (513) 834-7063

Other practice location 5

1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-7272

Other names 1

  • Kimber Lauren Chorak Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919002670 KY Practitioner - Mental Health Counselor 4183165954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1840 Cumberland Falls Hwy
Corbin, KY 40701-2729
Phone (606) 526-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
269513KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Professional CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Aug 26, 2002 Accepting new patients

Locations

1840 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-4428

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1326404765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012729",
            "telephone_number": "606-526-4428",
            "fax_number": "606-526-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012729",
            "telephone_number": "606-526-4428",
            "fax_number": "606-526-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9702 Stonestreet Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402726812",
            "country_code": "US",
            "telephone_number": "502-749-6249",
            "fax_number": "502-749-9983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 American Greeting Card Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014811",
            "country_code": "US",
            "telephone_number": "606-528-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 N Laurel Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407419075",
            "country_code": "US",
            "telephone_number": "606-802-7782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Legion Dr Ste 28",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042716",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154A Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "502-868-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CINNAMON",
        "first_name": "KIMBER",
        "middle_name": "LAUREN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "269513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "CHORAK",
            "middle_name": "LAUREN",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.