Brittany Marcum
Individual provider Active NPI Peer Specialist · Pippa Passes, KY
NPI 1609448133 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1609448133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 6870 Ky-899
Pippa Passes, KY 41844 - Phone
- (606) 483-2723
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | KY | Yes | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
6870 Ky-899
Pippa Passes, KY 41844
Mailing address
2675 Ky Route 850
David, KY 41616-8326
Phone (606) 483-2723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1195718 | Medicaid | KY |
Other providers in Pippa Passes, KY
- Christy Johnson
- Ruby A Johnson
- Zachary Johnson
- Kentucky River District Health Department
- Danville Tyler Little
- Rachel Noble
- Anna Lou Slone
- Ashley Nicole Slone
- Michael Sparkman
All providers in Pippa Passes, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.