Individual provider Active NPI

Belinda Conrad Harlow, EDD, LPCA

  • Professional Counselor
  • Munfordville, KY
National Provider Identifier
1376178368
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
251633 Issued in KY
Practice address
103 E South St
Munfordville, KY 42765-9023
Phone
(502) 762-4322
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Professional Counseling LLC 13 clinicians

Practice addresses (Care Compare)

103 E S St
Munfordville, KY 42765-9023
Phone (270) 696-3181

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
I20240724003768 KY Practitioner - Mental Health Counselor 6507302643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
251633KYMDMental Health Counselor
201127380KYMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Gambino LLC CurrentSince Mar 19, 2023 Accepting new patients
Bluegrass Professional Counseling, LLC Professional CurrentSince Jun 19, 2024 Accepting new patients

Locations

103 E South St
Munfordville, KY 42765
Phone (270) 524-7939

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 251633 KY
School Counselor 101YS0200X 201127380 KY
Professional Counselor 101YP2500X 251633 KY Primary

Addresses

Primary practice location

103 E South St
Munfordville, KY 42765-9023

Mailing address

103 E South St
Munfordville, KY 42765-9023
Phone (502) 762-4322

Other practice location 1

83 John Logsdon Rd
Munfordville, KY 42765-8189
Phone (502) 762-4322 ext. 50276

Other names 1

  • Dr. Belinda Conrad Richardson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2022.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1376178368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659023",
            "telephone_number": "502-762-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659023",
            "telephone_number": "502-762-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 John Logsdon Rd",
            "address_purpose": "LOCATION",
            "city": "Munfordville",
            "state": "KY",
            "postal_code": "427658189",
            "country_code": "US",
            "telephone_number": "502-762-4322 x50276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "BELINDA",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "EDD, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "251633",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "KY",
            "license": "201127380",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "251633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELINDA",
            "last_name": "RICHARDSON",
            "middle_name": "CONRAD",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munfordville, KY

Sources for this page

Verify at the official NPI Registry.