Individual provider Active NPI

Keishta Slattery, LPCC

  • Professional Counselor
  • Ashland, KY
National Provider Identifier
1356795124
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
240751 Issued in KY
Practice address
835 Central Ave
Ashland, KY 41101-7423
Phone
(606) 547-4400
Fax
(606) 547-4180
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 240751 KY Primary

Addresses

Primary practice location

835 Central Ave
Ashland, KY 41101-7423

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

Other practice location 1

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

Other practice location 2

211 S Carol Malone Blvd
Grayson, KY 41143-1355
Phone (606) 713-0379

Other practice location 3

10 Town Center Blvd Ste 2
Crestview Hills, KY 41017-2416
Phone (859) 360-6120

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
I20240112001869 KY Practitioner - Mental Health Counselor 6507217635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
240751KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey-Estep Homes, Inc CurrentSince Jan 1, 2024 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

106 Osborne Way
Ste B
Georgetown, KY 40324
Phone (502) 735-0400

211 S Carol Malone Blvd
Grayson, KY 41143
Phone (606) 713-0379

2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648

Organizations & group practices 2

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1356795124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017423",
            "telephone_number": "606-547-4400",
            "fax_number": "606-547-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Pigeon Roost Rd",
            "address_purpose": "LOCATION",
            "city": "Rush",
            "state": "KY",
            "postal_code": "411688132",
            "country_code": "US",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431355",
            "country_code": "US",
            "telephone_number": "606-713-0379",
            "fax_number": "606-547-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Town Center Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410172416",
            "country_code": "US",
            "telephone_number": "859-360-6120",
            "fax_number": "606-547-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "KEISHTA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "240751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.