Sherry Basore, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

284154 Issued in KY

Practice address

460 Wilson Ave
Versailles, KY 40383-1947

Phone

(859) 753-6626

NPI assigned

May 12, 2023

Last updated

May 12, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1356031264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SOUTHPOINT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405154763",
            "telephone_number": "859-619-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILSON AVE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831947",
            "telephone_number": "859-753-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASORE",
        "first_name": "SHERRY",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "284154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Baker, CD, (DONA)
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• Bluegrass Behavioral Health Services LLC

• Mental Health Counselor in Versailles, KY
• Providers in Versailles, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.