Organization Active NPI

Community Counseling Center LLC

  • Mental Health Counselor
  • Hopkinsville, KY
National Provider Identifier
1457758237
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMMUNITY COUNSELING CENTER LLC
Practice address
509 W 9TH Street
Hopkinsville, KY 42240-2133
Phone
(270) 886-1515
Fax
(270) 885-9232
NPI assigned
Nov 22, 2014
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mickey Lewis
Title
Owner
Phone
(270) 776-4751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

509 W 9TH Street
Hopkinsville, KY 42240-2133

Mailing address

509 W 9TH St
Hopkinsville, KY 42240
Phone (270) 886-1515

National Provider Directory

National Provider Directory

Locations

509 W 9th St
Hopkinsville, KY 42240
Phone (270) 886-1515

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1457758237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 9TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-886-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 9TH STREET",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402133",
            "telephone_number": "270-886-1515",
            "fax_number": "270-885-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-776-4751"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.