Kendra M Patton, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

240345 Issued in KY

Practice address

200 Belmont Ave
Somerset, KY 42501-2419

Phone

(606) 687-2038

Fax

(606) 200-3654

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Locations

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.

• Metamorphosis Mental Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, KY
  • NPI 1558841023
  NPD Authorized official
• Wellspring Counseling Ky

  • Mental Health Counselor
  • Somerset, KY
  • NPI 1053828293
  NPD
• Wellsprings Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
  • NPI 1144886763
  NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1396237517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 W EVELYN AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331511",
            "telephone_number": "606-875-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELMONT AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012419",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KENDRA",
        "middle_name": "M",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "240345",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "240345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Psychological Services
• Nicholas David Patrick
• Cherice K Patterson, MD
• Cynthia M Patterson, APRN
• Daniel G. Patton, CRNA
• Liara Patton
• Michael Joel Patton, PHD
• Paige Marie Pauley, LPCC-S, NCC
• Maria A Pavez, MD
• Maegan Ruth Peach, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.