Individual provider Active NPI

Lizabeth Flora Ann McKinney, LPCC

  • Professional Counselor
  • La Grange, KY
National Provider Identifier
1396146312
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
293215 Issued in KY
Practice address
2141 Spencer CT Ste 100
La Grange, KY 40031-6742
Phone
(502) 589-8600
NPI assigned
Sep 9, 2014
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1894 KY
Professional Counselor 101YP2500X 293215 KY Primary

Addresses

Primary practice location

2141 Spencer CT Ste 100
La Grange, KY 40031-6742

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842
Phone (502) 589-8600

Other practice location 1

521 Old Hodgenville Rd
Greensburg, KY 42743-9493
Phone (270) 932-3226

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
I20240822004653 KY Practitioner - Mental Health Counselor 5395284293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1894KYMDMental Health Counselor
293215KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. CurrentSince Jun 21, 2024 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients

Locations

2141 Spencer Ct
Lagrange, KY 40031
Phone (502) 222-7201

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1396146312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233842",
            "telephone_number": "502-589-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SPENCER CT STE 100",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316742",
            "telephone_number": "502-589-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Old Hodgenville Rd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KY",
            "postal_code": "427439493",
            "country_code": "US",
            "telephone_number": "270-932-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "LIZABETH",
        "middle_name": "FLORA ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "293215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.