Kaylee Flannery
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · South Shore, KY
NPI 1609647320 · NPPES record last updated Feb 17, 2026
Key facts
- NPI
- 1609647320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.194781 (OH)
- Practice address
- 472 Main St
South Shore, KY 41175-9558 - Phone
- (866) 233-1955
- NPI assigned
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.194781 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.194781 | OH | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
472 Main St
South Shore, KY 41175-9558
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other providers in South Shore, KY
- Katelyn Campbell
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- Betty Dyer
- Erica Leigh Fisher
- Jeremy Fisher
- Rose Francis
- Sharon Megan Fulton
- Lisa Carol Garrison
- Giggles & Gab Speech Therapy
- Amanda Gilliam
All providers in South Shore, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2026. 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.