Individual provider Active NPI

Lauren E Kirk, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1548074701
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4034503 Issued in KY
Practice address
730 Kenton Station Rd
Maysville, KY 41056-9619
Phone
(740) 776-8941
NPI assigned
Feb 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039045 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4034503 KY Primary

Addresses

Primary practice location

730 Kenton Station Rd
Maysville, KY 41056-9619

Mailing address

2520 Maysville Rd
Flemingsburg, KY 41041-8121
Phone (740) 776-8941

Other practice location 1

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851
Phone (513) 984-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814002880 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 1456850734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Source IncGroup PAC ID 6709772387, 51 clinicians

Practice addresses (Care Compare)

10921 Reed Hartman Hwy
Suite 133
Blue Ash, OH 45242-2851
Phone (513) 984-9838

Hospital & facility affiliations

  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4034503KYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0039045OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aya Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Counseling Source Inc CurrentSince Jul 21, 2025 Accepting new patients
Dragonfly Counseling Services Past Accepting new patients

Locations

730 Kenton Station Rd
Maysville, KY 41056
Phone (606) 301-1374

10921 Reed Hartman Hwy
Ste 133
Blue Ash, OH 45242
Phone (513) 984-9838

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1548074701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 MAYSVILLE RD",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410418121",
            "telephone_number": "740-776-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KENTON STATION RD",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569619",
            "telephone_number": "740-776-8941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Reed Hartman Hwy Ste 133",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452422851",
            "country_code": "US",
            "telephone_number": "513-984-9838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039045",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4034503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.