Individual provider Active NPI

Alison Paige Mullins-Couch, PSYD

  • Clinical Psychologist
  • Hopkinsville, KY
National Provider Identifier
1467408617
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY1182 Issued in KY
Practice address
1609 S Main St
Hopkinsville, KY 42240-1970
Phone
(270) 881-1062
Fax
(270) 887-0785
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X KY1182 KY Primary

Addresses

Primary practice location

1609 S Main St
Hopkinsville, KY 42240-1970

Mailing address

1861 E 9TH St
Hopkinsville, KY 42240-4476
Phone (270) 881-1062

Other identifiers 1

IdentifierTypeStateIssuer
30602015MedicaidKY

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
I20050913000916 KY Practitioner - Clinical Psychologist 3779516521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling CorpGroup PAC ID 7618900457, 2 clinicians

Practice addresses (Care Compare)

1861 E 9TH St
Hopkinsville, KY 42240-4476

203 B Commerce CT
Hopkinsville, KY 42240-6806
Phone (270) 885-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY1182KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center CurrentSince Feb 16, 2020 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Feb 16, 2020 Accepting new patients
Jennie Stuart Medical Center Inc Clinical Current Accepting new patients

Locations

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1467408617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 E 9TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404476",
            "telephone_number": "270-881-1062",
            "fax_number": "270-887-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S MAIN ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401970",
            "telephone_number": "270-881-1062",
            "fax_number": "270-887-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS-COUCH",
        "first_name": "ALISON",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30602015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.