Christopher Griffith, LPCC

Individual provider Active NPI Professional Counselor · Paintsville, KY

NPI 1386030278 · NPPES record last updated Sep 2, 2016

Key facts

NPI
1386030278
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
104606 (KY)
Practice address
485 Ponderosa Dr
Paintsville, KY 41240-8558
Phone
(606) 789-9791
Fax
(606) 789-4882
NPI assigned
Apr 8, 2015
Sex
Male
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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
104606KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Appalachian Project Inc Professional Current Accepting new patients
Christian Appalachian Project, Inc Current Accepting new patients

Locations

485 Ponderosa Dr
Paintsville, KY 41240
Phone (606) 789-9791

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104606 KY Yes

Addresses

Primary practice location

485 Ponderosa Dr
Paintsville, KY 41240-8558

Mailing address

485 Ponderosa Dr
Paintsville, KY 41240-8558
Phone (606) 789-9791

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 2, 2016.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1386030278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 PONDEROSA DR",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408558",
            "telephone_number": "606-789-9791",
            "fax_number": "606-789-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 PONDEROSA DR",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408558",
            "telephone_number": "606-789-9791",
            "fax_number": "606-789-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

All providers in Paintsville, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.