John Kyle Valencourt, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

293078 Issued in KY

Practice address

835 Central Ave
Ashland, KY 41101-7423

Phone

(606) 547-4400

Fax

(606) 547-4180

NPI assigned

Feb 2, 2021

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Growing by Grace Counseling Services LLC

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  • Ironton, OH
  • NPI 1851956544
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1376134213",
    "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": "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"
        },
        {
            "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": "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"
        }
    ],
    "basic": {
        "last_name": "VALENCOURT",
        "first_name": "JOHN",
        "middle_name": "KYLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "293078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.