Individual provider Active NPI

Rosanna Renee McCoy, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Prestonsburg, KY
National Provider Identifier
1356745509
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
164694 Issued in KY
Practice address
105 Trimble Chapel Square
Prestonsburg, KY 41653
Phone
(606) 874-0240
Fax
(606) 874-8666
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1207 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 164694 KY Primary

Addresses

Primary practice location

105 Trimble Chapel Square
Prestonsburg, KY 41653

Mailing address

273 Horseshoe St
Thelma, KY 41260-8647
Phone (606) 874-0240

Other practice location 1

117 Trimble Chapel Sq
Prestonsburg, KY 41653-8462
Phone (606) 874-0240

Other practice location 2

97 Trimble Chapel Sq
Prestonsburg, KY 41653-8461
Phone (606) 874-0240

Other names 1

  • Mrs. Rosanna Renee McCoy Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1207KYMDAddiction (Substance Use Disorder) Counselor
164694KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope in the Mountains Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1356745509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HORSESHOE ST",
            "city": "THELMA",
            "state": "KY",
            "postal_code": "412608647",
            "telephone_number": "606-874-0240",
            "fax_number": "606-874-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRIMBLE CHAPEL SQUARE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-874-0240",
            "fax_number": "606-874-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Trimble Chapel Sq",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416538462",
            "country_code": "US",
            "telephone_number": "606-874-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Trimble Chapel Sq",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416538461",
            "country_code": "US",
            "telephone_number": "606-874-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROSANNA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1207",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "MCCOY",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "LCADC, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.