Autumn Minch, LPCC
Individual provider Active NPI Professional Counselor · Munfordville, KY
NPI 1336630490 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1336630490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 291507 (KY)
- Practice address
- 118 W Union St
Munfordville, KY 42765-8911 - Phone
- (270) 901-5000
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifeskills, Inc
Practice addresses (Care Compare)
118 W Union St
Munfordville, KY 42765-8911
Phone (270) 901-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524000410 | KY | Practitioner - Mental Health Counselor | 9133561905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291507 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Current |
Accepting new patients |
Locations
8324 Eagle Way
Chicago, IL 60678
380 Suwannee Trail St
Bowling Green, KY 42103
205 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2713
608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379
118 W Union St
Munfordville, KY 42765
Phone (270) 524-2713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 291507 | KY | |
| Professional Counselor | 101YP2500X | 291507 | KY | Yes |
Addresses
Primary practice location
118 W Union St
Munfordville, KY 42765-8911
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other practice location 1
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other practice location 2
205 Mohawk St
Brownsville, KY 42210-8556
Phone (270) 901-5000
Other providers in Munfordville, KY
- Rachel Mercer
- Hilary Meredith
- Shannon Lynn Mester
- Evelyn Salisbury Middleton
- James W Middleton Jr.
- Kimberly Ann Owens
- Sandhya Pahuja
- Jackie A. Pandeya
- Virag Pandeya
- Kelly C. Pate
All providers in Munfordville, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.