Christina G Bacon, MS, LPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

247601 Issued in KY

Practice address

292 Glades Rd Ste 8
Berea, KY 40403

Phone

(859) 985-7862

Fax

(859) 972-0616

NPI assigned

Jan 11, 2007

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 1, 2024 through Sep 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Parsons Counseling, LLC

  dba Parsons Counseling & Play Therapy Center

  • Mental Health Counselor
  • Berea, KY
  • NPI 1376911008

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1487704649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OAK BRANCH DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039581",
            "telephone_number": "859-302-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 GLADES RD STE 8",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "40403",
            "telephone_number": "859-985-7862",
            "fax_number": "859-972-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "CHRISTINA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MS, LPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "137685",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "247601",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "247601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100610370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loni Michelle Anderson, PHARM. D
• Arc Clinical Solutions
• Hannah J Artley
• B Squared Behavior Analysis, LLC
• Back Office Management Services LLC
• Baptist Health Medical Group Inc (Berea Rural Health Center)
• Morgan Hunt Barton, M.A. ED., CF-SLP
• Kristy Batchelder, CSA
• Robin G Beaver
• Rita Deattrea Beckford, M.D.

• Psychologist in Berea, KY
• Providers in Berea, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.