Individual provider Active NPI

Pamela Jean Veach

  • Professional Counselor
  • Greensburg, KY
National Provider Identifier
1417209461
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
270130 Issued in KY
Practice address
521 Old Hodgenville Rd
Greensburg, KY 42743-9478
Phone
(270) 932-3226
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 270130 KY Primary

Addresses

Primary practice location

521 Old Hodgenville Rd
Greensburg, KY 42743-9478

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other identifiers 1

IdentifierTypeStateIssuer
7100747420MedicaidKY

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
I20231219002292 KY Practitioner - Mental Health Counselor 7012367972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

119 Herrifords Cir
Jamestown, KY 42629-2520
Phone (270) 343-2551

163 Herrifords Cir
Jamestown, KY 42629-2520
Phone (270) 343-4108

200 E Frazier Ave
Columbia, KY 42728-1915
Phone (270) 384-4719

218 Columbia Ave
Glasgow, KY 42141-2932
Phone (270) 651-7070

259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone (606) 679-7348

322 Middleburg St
Liberty, KY 42539-3004
Phone (606) 787-9472

521 Old Hodgenville Rd
Greensburg, KY 42743-9493
Phone (270) 932-3647

90 Medical LN
Whitley City, KY 42653-4216
Phone (606) 376-2466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270130KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Bradley Recovery Center Counselor PastSince Oct 1, 2024 Accepting new patients
Graham Family Care LLC Past Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient PastSince Jul 17, 2021 Accepting new patients

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

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

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1417209461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 OLD HODGENVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427439478",
            "telephone_number": "270-932-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEACH",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "270130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100747420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.