Individual provider Active NPI

Mary Beth England, LPCA

  • Counselor
  • Munfordville, KY
National Provider Identifier
1417658709
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
283642
Practice address
103 E South St
Munfordville, KY 42765-9023
Phone
(270) 696-3181
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 283642 Primary

Addresses

Primary practice location

103 E South St
Munfordville, KY 42765-9023

Mailing address

103 E South 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
I20250908002958 KY Practitioner - Mental Health Counselor 5193227130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Professional Counseling LLCGroup PAC ID 3476815085, 13 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC CurrentSince Aug 28, 2025 Accepting new patients
Kimberly Gambino LLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

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

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, 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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1417658709",
    "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": "270-696-3181"
        },
        {
            "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": "270-696-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "283642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munfordville, KY

Sources for this page

Verify at the official NPI Registry.