Active NPI
Rosanna Renee McCoy, LCADC
- Addiction (Substance Use Disorder) Counselor
- Prestonsburg, KY
National Provider Identifier
1356745509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 164694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1207 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 164694 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Abuse Rehabilitation Facility
- Prestonsburg, KY
- NPI 1124394499
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.