NPIMap

Organization Active NPI

Twin Lakes Counseling Services, LLC

  • Professional Counselor
  • Leitchfield, KY
National Provider Identifier
1508100447
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TWIN LAKES COUNSELING SERVICES, LLC
Practice address
346 S Main St
Leitchfield, KY 42754-1428
Phone
(270) 230-1777
Fax
(270) 679-0838
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Luke H Hatfield I, M.ED., LPCC, NCCNPI 1649477464
Title
Owner, Therapist
Phone
(270) 230-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

346 S Main St
Leitchfield, KY 42754-1428

Mailing address

PO Box 4237
Leitchfield, KY 42755-4237
Phone (270) 230-1777

Other identifiers 1

IdentifierTypeStateIssuer
7100397640MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625002494 KY Part B Supplier - Clinic/Group Practice 4082948070 Receives reassigned benefits from 15 practitioners
Practice locations: Leitchfield, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2192700Twin Lakes Counseling Services346 S Main St, Leitchfield, KY 42754Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1508100447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4237",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427554237",
            "telephone_number": "270-230-1777",
            "fax_number": "270-679-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541428",
            "telephone_number": "270-230-1777",
            "fax_number": "270-679-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "270-230-1777",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.ED., LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100397640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.