Elaine M Duncan, LPC

Individual provider Active NPI Professional Counselor · Crestwood, KY

NPI 1609895697 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609895697
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0217 (KY)
Practice address
6200 Crestwood Sta
Suite a
Crestwood, KY 40014-7418
Phone
(502) 241-2909
Fax
(502) 241-6811
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0217KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Merclan PLLC Past Accepting new patients
Merclan Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0217 KY Yes

Addresses

Primary practice location

6200 Crestwood Sta
Suite a
Crestwood, KY 40014-7418

Mailing address

6214 Innes Trace Rd
Louisville, KY 40222-6009
Phone (502) 425-5722

Other identifiers

IdentifierTypeStateIssuer
KY0217OtherKYSTATE LICENSE NUMBER

Other providers in Crestwood, KY

All providers in Crestwood, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.